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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:
:
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)
I
am planning a:
Wedding
Reception
Wedding
ceremony
Cocktail Hour
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
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?
Fax Number:
area code + number
Comments: Additional
info. 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?
To submit this form, click
Important: If you have any difficulty sending
this form,
please call this number (732) 671-3583
and leave your name, address and
phone number,
and the date of the event as well,
so we can send you our video immediately.
Thanks!
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The "A"
Band
(732) 671-3583
Middletown, NJ
07748
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