MENU
D.J. Service
Action Photos
Video Previews
Lighting
Party Props
Video Games
TV Game Shows
Celebrities For Hire
Live Band & D.J.
Contact Us
Check Availability
Home
INFORMATION FORM
You can complete the form below and electronically submit it to us for more information. We will contact you within 24 hours.
Ms.
Mrs.
Mr.
Name:
Corp / School (If applicable):
Title (If applicable):
Street:
City:
State:
- Select State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Above address is:
Residence
Business
School
Other
Phone (Res):
Phone (Bus):
E-Mail Address:
Type of affair:
Anniversary Party
Awards Banquet
Barbecue
Bar Mitzvah
Bat Mitzvah
Birthday Party (Child)
Birthday Party (Teenager)
Birthday Party (Sweet 16)
Birthday Party (Young Adult)
Birthday Party (Adult)
Birthday Party (Senior Citizen)
Charity Event
Christening
Class Reunion
College Dance
Company Picnic
Confirmation
Convention
Corporate Function
Cruise Ship
Dance
Dinner Dance
Engagement Party
Festival
Fraternity Party
Fund Raiser
Grade School Dance
Graduation Party
Grand Opening
Ground Breaking
High School Dance
Holiday Party
Large Screen Video Games
Middle School Dance
New Years Eve
Nightclub
Pool / Beach Party
Prom
Recognition Dinner
Retirement Party
Sales Dinner
Social
Sorority Party
Theme Party
Trade Show
Video Dance Party
Wedding Reception
OTHER
Date of affair:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
2012
2013
Time of affair:
Morning
Afternoon
Twilight
Nighttime
Place of affair:
City:
State:
- Select State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Number of guests:
1-50
51-100
101-150
151-200
201-300
301-400
401-500
500-1000
1000+
How did you hear about us?
Surfin' the Net
WeDJ.com
WeddingWire.com
Facebook
Twitter
E-mail
ProDJ.com
Greentree C.C.
Greentree C.C. Food Tasting
Knot, The
Mitzvahchic.com
Arch Street Teen Center
Recommendation
Friend
Bridal Show
Direct Mail Flyer
Direct Mail Postcard
Previous Client
Magazine Ad
Article
Yellow Pages
Z100 Party Service
OTHER
Please check the age groups of your guests:
Under 13
13 - 16
16 - 18
18 - 25
25 - 30
30 - 40
40 - 50
50 - 60
Over 60
Please check off your music preferences:
Top 40
House
Alternative
Hip-Hop
Rap
Techno
90's
80's
70's
60's
50's
Classic Rock
Disco
Motown
R & B
Big Band
Jazz
Country
Classical
Easy Listening
Reggae
Soca
Latin
Italian
Irish
Jewish
Polish
Other Ethnic
(List under comments)
Holiday Music (applies to Holiday Parties only)
Please check off services you might be interested in:
Disc Jockey
D.J. & M.C.
Light Show
Karaoke Revolution
Party Props
Laser Light Show
Video Games
Musicians
Dancers
Large Screen Video
Jeopardy Game
Dance Dance Revolution
Ceremony Music
Cocktail Hr Music
Dance Platforms
Eye Toy Games
Text Messaging
Plasma Screens
Live Video Camera
Decor Uplighting
(All Pages of this Web Site copyright © 1996 - 2010 All Rights Reserved)
Site design by: Ambassador Media Service