Name
              
                * 
              
             
          
                Point of Contact for the Event:
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email Address
              
                * 
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
                * 
              
             
          
                
                
                
                  
                     
                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Event Type
              
                * 
              
             
          
                
                
                
                  
                    After Party 
                  
                    Anniversary 
                  
                    Bar Mitzvah 
                  
                    Bat Mitzvah 
                  
                    Birthday Party 
                  
                    Club/Bar 
                  
                    Charity/Benefit 
                  
                    Concert 
                  
                    Corporate Event 
                  
                    Funeral 
                  
                    Graduation 
                  
                    Holiday Party 
                  
                    Parade 
                  
                    Pool Party 
                  
                    Pre-Party 
                  
                    Private Party 
                  
                    Red Carpet 
                  
                    Reunion (Family) 
                  
                    Reunion (School) 
                  
                    Reunion (Other) 
                  
                    Sporting Event 
                  
                    Tour 
                  
                    TV/Film 
                  
                    Other 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Event Date
              
                * 
              
             
          
                
                
                  
                     
                    MM 
                   
                
                
                  
                     
                    DD 
                   
                
                
                  
                     
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Event Start Time
              
                * 
              
             
          
                
                
                  
                     
                    Hour 
                   
                
                
                  
                     
                    Minute 
                   
                
                
                  
                     
                    Second 
                   
                
                
                  
                    AM 
                    PM 
                   
                
               
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Event Location
              
                * 
              
             
          
                
                
                  
                     
                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Atmosphere
              
                * 
              
             
          
                Use this space to specify which of the following lighting and special effect options you would like to use to create the atmosphere for your event.
                
                  NO Lighting
                
                  LED Light Up DJ Booth
                
                  Solid White DJ Booth
                
                  Solid Black DJ Booth
                
                  Dance Floor Lighting - LARGE
                
                  Dance Floor Lighting - SMALL
                
                  Color LED Spotlights (highlights for cake tables, etc)
                
                  FULL Color LED Up-Lighting  (around room or venue)
                
                  Blacklight/UV (for glow in the dark parties)
                
                  Fog Machine
                
                  Bubble Machine
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              1.) Will Live Music Be Played at Your Event?
              
                * 
              
             
          
                (If so please give exact details & sound requirements)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              2.) Would You Like a Specific Song or Style of Music to Be Playing As Guests Arrive?
              
                * 
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              3.) Are There Any Artists, Styles of Music, or Genres, You Would Like To Be Played at Your Event?
              
                * 
              
             
          
                (This is to help create a vibe for the style of music you would like played. You can input specific song requests later in this form)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              4.) Please List Any Group, Party, or Line Dances You Would Like Played:
              
             
          
                (if any)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              5.) Please List Any Group, Party, or Line Dances You Absolutely DON’T Want Played:
              
             
          
                 (If any)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              6.) Please List any Special Requests or Songs you WOULD definitely like to have played:
              
                * 
              
             
          
                (Please be Specific on Title, Artist, Version or Remix, and any other important info about each request)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              7.) Please List Any Songs or Music That You Absolutely DON’T Want Played:
              
             
          
                (if any)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please Describe Any Additional Notes or Directions You May Have For the DJ/Emcee During Your Event: