| First Name: | |
| Last Name: | |
| Address Street 1: | |
| Address Street 2: | |
| City: | |
| Zip Code: | (5 digits) |
| State: | |
| Daytime Phone: | |
| Evening Phone: | |
| Email: | |
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How did you hear
about us? | |
| Event Date: | |
| Event Location: | |
| Specific Directions to Event Location: | |
| DJ Start Time: | |
| DJ End Time: | |
Please Check the Main Types of Music You Want Played at Your Event. Check Multiple Boxes for a Mix of those you choose.
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| Justin Timberlake, Black Eyed Peas, Beyonce, Fergie | "Right Now Hits" Top 40 Pop |
| Prince, Sir Mix Alot, | Classic Dance Party Songs |
| Akon, Eminem, Snoop Dogg, Nelly, etc. | New & Classic Hip Hop |
| YMCA, Electric Slide, Cha Cha Slide, etc. | Group Participation |
| Paul Oakenfold, Goldfrapp | Electronic Dance |
| Elvis, Chubby Checker, Mustang Sally | Classic Oldies |
| Bon Jovi, Madonna | 80's Hits |
| KC & Sunshine Band, Bee Gees, ABBA | 70's Disco |
| Hinder, Fallout Boy, Evanescence | New Rock Hits |
| AC/DC, Skynyrd, Bob Seger, Zeppelin | Classic Rock |
| Carrie Underwood, Rascal Flatts, Tim McGraw, Hank Williams | Country Hits |
| Please List Any Specific Song Requests You Have in the Space Below. Also List Any Announcements You Would Like to be Made. |
| Special Requests/Announcements: |
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Press the SUBMIT Button to send information. In most cases a $50 deposit is required to lock in your date. You may do that online for your convenience through the PAYPAL link on the homepage. You will be sent to the homepage after pressing SUBMIT. Thank-you for using the Online Event Planner! You will be contacted right away. |
