Event Name: 

Address:

Phone:  Work:                           

Home:

E-mail:

Date(s):

Time(s): (Music begins to Music ends)

Place:

Set-up (time):                        Please allow one hour for set up.

Take-down (time):               Please allow one hour after last note of music for take down.

Music: Requests by guests are always encouraged by DJ at your event.

  Types of music you would like:

  Must-have tunes...

  Please don't play:

Equipment:

Standard DJ System Sound and Dance Lights

Additional:

Signature:

                      Russel "Chip" Eckert                                                             Date

Signature:

                      Purchaser                                                                            Date