How did you hear about A Music Connection?

Your Event Information
Items marked with a * are required.

Name:*

Event Date:*

Company Name:

Address:*

City:*

State:*

Zip Code:*

Phone Number:*

Fax Number:

Email Address:*



Type of Event:

Guest of Honor Name(s):

Number of Guests:

Dress Code:

Audience Age:
% 12-17      
% 18-30      
% 31-40      
% 41-50      
% 51-60      
% 61 +      

Time Schedule:
: Access Time      
: Time Guests Arrive      
: Performance From      
: Performance To      
: Lunch/Dinner To      
: Lunch/Dinner To      

Dining:


Facility Information


Name:

Banquet Manager:

Street Address:

Cross Street:

City:

Facility Zip Code

Phone Number:

Type:


Are there any steps?

If so, How many?

Elevator

NOTE: We require about 63 square feet (7' x 9') for set-up and access to 115/15A Outlet. For maximum enjoyment of the guests, please do not place tables in front of speakers. We will be happy to assist you with advance planning for your event.

Music Selection:

Dinner / Background:


Dancing


List your favorite dance songs.

If wedding, List First Dance Song:

If wedding, List Second Dance Song:

If wedding, List Last Dance Song:

Separately, please list artists or styles of music that you do not like.

We carry a 6,000+ selection music library suitable for all age groups. If "specialties" are required (e.g. Modern Rock) please contact the DJ. We will be happy to play your CDs and/or tapes.