Name Company Address City State Zip Phone Fax Type of Occasion Date Preferred # of Guests Age Group: (Age Group) 25-35 35-45 45-60 65+ MIxed Location: (Choose Location) In House Open To Suggestions Other Location Other Location Name Entertainment (Check All That Apply) DJ Live Band Acapella Group Contemporary Jazz Country Reggae Other Food (Check All That Apply) Breakfast Brunch Box Lunch Lunch Dinner Hors D'oeuvres Cocktail Hour Buffet Style Sit Down Beverages (Check All That Apply) Open Bar Wine & Beer Cash Bar Soft Drinks Service (Check All That Apply) Bartender Waitresses Waiters Self-Serve Theme Decorations We would like a specific theme: Floral Centerpieces Fresh Dried Silk Live Plants Balloons Other Equipment Needed please (Check all that apply) Tables Chairs Dais Table Dance Floor Podium Tripod Audio Audio/Video Prompters Party Tents Other Tableware: (Check all that apply) Plates: China or Disposable Glasses: Glass or Disposable Utinsels: Stainless or Disposable Cloths: Linen or Disposable Special Services Required: Check all that apply Your approximate Budget is: Please call me to set up an interview Date preferred