| First Name: |
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| Last Name: |
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| Type of Event: |
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| Date & Time(s) of Event: |
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| Venue/City/State of Event: |
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| Hours of Playing Time: |
Example: 1 hour, 1 1/2 hours, 2 hours, etc. |
| Number of Attendees: |
A rough estimate is fine. |
| If this is for a Wedding Ceremony, will there be a receiving line following the ceremony for which you'd want me to continue to perform?: |
If you aren't sure yet, please
let me know so I can give you
a quote either way. |
| Daytime Phone: |
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| Evening Phone: |
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| Cell Phone: |
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| Email: |
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| Alternate Email (if desired): |
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