Information Request Form

What type of event are you planning?

Wedding Reception
Company Party
School Dance
Graduation Party
Birthday Party
Holiday Party
Other 

When is your event?

-- mm/dd/yy

What time will your event begin?

How many hours do you Music That Moves You reserved for?

4 hours
5 hours
6 hours
7 hours
8 hours
More

Are you interested in having the light show?

Yes No

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone	() -
Home Phone	() -
E-mail

If you have any further questions or comments please place them here.