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Yes! I would like a free Video Showcase
Presentation!(click box for yes)
Date
of Event (required):
Time of Event (if known):
or,
is your party in the afternoon or evening
E-mail
address (required):
IMPORTANT: Please fill in your name and address
exactly
as you want it to appear on your package!
This will be your actual shipping
label.
Ship Video Showcase Package to:
:
Please include both a day and evening phone number
so
we can provide the information you requested as quickly and accurately
as possible,
.
Daytime Phone Number (required):
area code + number
Evening Phone Number
(required):
area
code + number
What is the best time to call? (Important
so we can follow up without phone tag)
I am planning a:
Wedding Reception
Wedding ceremony
Corporate Event
Private Party
Bar/Bat Mitzvah
Other
If event type is a Wedding or Anniversary,
what is the name of the
Bride:
and
the
Groom:
Location
of Event (if known)
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)
Fax Number:
area code + number
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