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To better assist you, please take a moment to fill out the following request form. Enter as much detail as possible as that will help us assist you better; it's not as lengthy as it appears. In addition, this form can be used to give us feedback after an event. NOTE: Your email address is ONLY used for our purpose and will not be sold to outside sources.

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          REQUEST FORM

WHAT WOULD YOU LIKE?
(choose all that apply)
Request a Quote
Request a Brochure
Call Me to Discuss
Book Entertainment
Leave Feedback (enter comments at bottom of page)

COMPANY NAME:
(if applicable)

FULL NAME:
 * required

STREET ADDRESS:
 * required

CITY, STATE, ZIP
 * required

PRIMARY EMAIL:
 * required

HOME PHONE #:

CELL #:

WORK #:

HOW DID YOU HEAR ABOUT ENTERTAINING CONXECTIONS?

TYPE OF EVENT:

EVENT DATE:

AGE OF BIRTHDAY CHILD:
AGE RANGE OF GUESTS:
(if applicable)

DESIRED ENTERTAINMENT:

ENTERTAINER(S) START TIME:

HOW LONG DO YOU WANT THE ENTERTAINER FOR?
(ie: 2 hours)

PARTY LOCATION FULL ADDRESS:    (if different than home address)

AT YOUR EVENT, WILL ENTERTAINER BE:

HOW MANY WILL WE ENTERTAINER?

ADDITIONAL COMMENTS YOU WOULD LIKE TO SHARE TO HELP US PLAN YOUR FUN:

FEEDBACK AFTER YOUR EVENT

SHARE FEEDBACK WITH US AFTER YOUR EVENT
(include event date):
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