Yes! I would like
a free Video Showcase Presentation!
Please Specify Video Format....
either:
click box: for a DVD
or
click box: for a Video
Cassette (VHS)
Date
of Event (required):
Time of Event (if known):
or, is
your party in the afternoon or evening
E-mail
address (required):
----> Ship
Video Showcase Package to the NAME & ADDRESS below:
IMPORTANT: Please fill in your Full Name and
Complete Address
as this will be your actual
mailing label.
Daytime
Phone Number (required):
area code + number
Evening Phone Number (required):
area code + number
What is the best time(s)
to call?
(Important so we can follow up without
phone tag)
Fax Number (optional):
area
code + number
I am planning a:
Wedding Reception
Wedding
ceremony
Cocktail Hour
Corporate
Event
Private
Party
Bar/Bat
Mitzvah
Other Please Specify
If event type is a
Wedding or Anniversary, what is the name of the
Bride: Bride's Age:
and the
Groom: Groom's Age:
Location of the Event
My musical interests are: (check
all that apply)
Classic Rock & Roll / Oldies
70's
Motown
/ R & B
Jazz
Swing
/ Big Band / 40's
Club
/ Dance / Disco
Contemporary
Rock
Top
40 / Pop
Classical
Ethnic
Live
Band
DJ
If
there is a desire to have any Ethnic or Religious music played,
please list the
Nationalities or Religion:
How were you directed to this web site?
(please
select an item for the pop-up menu above)
If "By a "search
engine"....which
one?
Finally, please add any additional
information concerning your event
and , if you would be so kind...
could you comment on this web site?
What
did you like, and what did you dislike?
Comments: (You may type as much as you like)
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