Name 

Address   

City   

State     Zip  
Daytime Phone   Ext.   Evening Phone   Ext.
Cellular Phone       Pager 
Email     Fax
Event: Wedding Ceremony   Wedding Reception   Anniversary Celebration   Corporate Event   
Holiday Event   Birthday Party  Religious Ceremony  Other
Event Location: Inside    Outside
Event Address: 

Event Date  Begin Playing Time a.m.  p.m.  Conclude Playing Time a.m.  p.m.
Number of Musicians : One   Two   Three   Four   Five   Other
Instrumentation: (please check one or more) 
Flute  Classical Guitar   Jazz Guitar  Acoustic Guitar  Harp Violin 
Viola Cello Bass Percussion Vocals Piano Organ Other
Type of Music: (please check one or more)  
Classical   Sacred   Light Jazz   Show Tunes   Popular   Holiday Other
Method of Payment: Check   Visa/Mastercard (via Paypal)   
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