Party Date:

Your Name:

Your Email:

Your Phone Number:
(optional)

Start Time:

Event Location:

# of Expected Guests:

Average Age of Guest:

Dress Required for DJ:

Type of Music Requested (check all that apply):

Other:

If Class Reunion: Year of Graduation an/or Era:

List of specific songs and artist that you request be played:

List of specific songs and artist that you request NOT be played:

Please fill out this form and submit two weeks prior to the reception:

Note: DJ will need a minimum of 1 hour for setup; One 5 to 8 foot table may be required.