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REQUEST INFORMATION

ARE YOU PLANNING A CELEBRATION?

Please fill in the spaces below and tell us about you and the event you are planning, and how we can contact you.

** INDICATES REQUIRED FIELD - PLEASE BE SURE TO FILL IN THESE LINES

GENERAL INFORMATION
1.	First Name **
2.	Last Name **
3.	Address
4.	City - State - Zip Code **
5.	Telephone Number (Be sure to include area code)
6.	Email Address
7.	Best Way To Contact You	CHOOSE ONE E-MAIL HOME PHONE DAY HOME PHONE NIGHT WORK PHONE DAY WORK PHONE NIGHT
8.	Would You Like To Schedule A Meeting?	YES NO
EVENT INFORMATION
9.	Event Date **	MONTH JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER UNSURE DAY 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 UNSURE YEAR 2007 2008 2009 UNSURE
10.	Event Location
11.	Type Of Event **	CHOOSE TYPE OF EVENT ANNIVERSARY BIRTHDAY BIRTHDAY - SWEET 16 BLOCK PARTY CHRISTMAS CLASS REUNION CORPORATE EVENT DANCE DANCE - SCHOOL DANCE - PROM GRADUATION PARTY KIDS PARTIES NEW YEARS POOL PARTY WEDDING (OTHER
12.	Estimated Number Of Guests	CHOOSE ONE UNDER 50 GUESTS 51 - 99 GUESTS 100 - 149 GUESTS 150 - 199 GUESTS 200 - 249 GUESTS 250 - 299 GUESTS 300 - 349 GUESTS 350 - 399 GUESTS OVER 400 GUESTS NOT SURE
13.	What Is Your Entertainment Budget?	CHOOSE ONE $150.00 - $199.00 $200.00 - $249.00 $250.00 - $299.00 $300.00 - $399.00 $400.00 - $499.00 $500.00 - $599.00 $600.00 - $699.00 $700.00 - $799.00 $800.00 - $899.00 $900.00 - $999.00 $1000.00 OR GREATER
OPTIONS
14.	WEB PAGE PHOTOS WHAT IS WEB PAGE PHOTOS CLICK HERE	Would You Like Web Page Photos For This Event? YES NO UNDECIDED
15.	PARTY KITS WHAT ARE PARTY KITS? CLICK HERE   Would You Like Any Party Kits For Your Event?   YES  - Please check the boxes below of party kits that may interest you NO UNDECIDED PARTY KIT PHOTO PARTY KIT SONG / ARTIST PARTY KIT DESCRIPTION YMCA PARTY KIT YMCA / VILLAGE PEOPLE 28 ASSORTED HATS CHICKEN DANCE PARTY KIT CHICKEN DANCE / VARIOUS ARTISTS 12 CHICKEN HEAD MASKS   OLD TIME ROCK & ROLL PARTY KIT OLD TIME ROCK & ROLL / BOB SEGER 6 - 42" INFLATABLE GUITARS 6 - 31" INFLATABLE SAXOPHONES 12 MUSIC NOTE FEDORAS COTTON EYED JOE PARTY KIT COTTON EYED JOE / REDNEX 12 COWBOY HATS 12 BANDANAS HOT HOT HOT PARTY KIT HOT HOT HOT / BUSTER POINTDEXTER 12 SOMBREROS  24 MARACAS   ELECTRIC SLIDE PARTY KIT ELECTRIC SLIDE / MARCIA GRIFFITHS 50 - 22" GLOW NECKLACES  (ALL SAME COLOR) I LOVE ROCK & ROLL PARTY KIT I LOVE ROCK & ROLL / JOAN JETT 6 - 42" INFLATABLE GUITARS  6 - 28" INFLATABLE JUMBO MICROPHONES MARGARITIVILLE PARTY KIT MARGARITAVILLE / JIMMY BUFFETT 12 - 11" INFLATABLE PARROTS 2 DELUXE PARROT HEAD HATS 72 LEIS SOUL MAN PARTY KIT SOUL MAN / BLUES BROTHERS 12 PAIRS OF SUNGLASSES / 12 GANGSTER HATS / 12 INFLATABLE MICROPHONES WIPEOUT PARTY KIT WIPEOUT / SURFARIS 12 BEACHCOMBER HATS 72 LEIS   CONFETTI SHOTS
FINAL NOTES
16.	Where Did You Hear About Mixmaster DJ Services	CHOOSE ONE BROWSING THE WEB FRIEND / RELATIVE SAW US AT AN EVENT RECOMMENDED BY A VENDOR SEARCH ENGINE OTHER
17.	If You Have Seen Us At An Event Please Indicate Which Event You Saw Us At
18	Please enter additional information about your event, comments and questions.	PLEASE ALLOW A SEVERAL MOMENTS TO PASS AFTER PRESSING THE SUBMIT REQUEST INFORMATION  BUTTON FOR YOUR INFORMATION TO PROCESS
THANK YOU!

MIXMASTER DJ SERVICES

CREATING MEMORIES THAT LAST A LIFETIME

Contact us today for more information on how to make your event a memory that you and your guests will remember for years to come.

There are 3 easy ways to contact Mixmaster DJ Services

1. CLICK HERE - If you are planning an event to fill out our online request information page.

2. Telephone Mike Miller of Mixmaster DJ Services - 724-465-2571

3. CLICK HERE - Contact Mixmaster DJ Services with your questions or comments

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