Your Information

Your Name (required)

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Message Subject

Phone Number (required)

Address (required)

Address 2

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State (required)
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code (required)

Event Information

Date of Event (required)

Venue Name

Venue Address

Venue Address 2

Venue City (required)

Venue State (required)
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Venue Zip Code (required)

Approximate Show Time (required)
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My Date/Time is Flexible

Audience Size

Approximate Entertainment Budget (required)
—Please choose an option—$500-$1000$1001-$1500$1501-$2000$2001-$3000$3001-$5000$5001-$7500

Your Organization Information

Organization (required)

Organization Type (required)
—Please choose an option—CasinoCollegeComedy ClubCompanyCruise ShipFair/Festival/ExpoHigh SchoolShow Room/TheatreOther

Your Role/Title (required)
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Type of Event (required)
—Please choose an option—Company FunctionSchool AssemblyCollege ShowFundraising EventPublic PerformancePost Prom/Project GradPhilanthropy EventSelf Improvement SeminarOther

Additional Information

Requested Services:
HypnotistEmceeDJ

Additional Message

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