Occasion Date _______________________ Date Called ___________________

Occasion Description _____________________________________________________

For Who ______________________________________________________________

Phone (home) _______________ Pager (work) _____________Pager_______________

Address _______________________________________________________________

City ________________________________ State _____________ Zip ____________

Location ______________________________________________________________

Address _______________________________________________________________

City ______________________________ State ______________ Zip _____________

Phone # ____________________ Room Name or Number _______________________

SetupTime ____________ Time of Occasion From ____________ To _______________

Attendance # _________ Setup Stage or Floor or (other) _________________________

Light show ( YES ) ( NO ) Music Type: ___________________________________

Person in Charge _________________________ Ph.# ___________________________

Advertising Source, Referred by: ___________________________________________

Price Quoted: _______________________ Over Time Charged ___________________

Deposit Quoted: _____________________

Signature X _________________________________________

Representative X ____________________________________

To Book a show

Call 661-816-4254