Bar/Pub DJ Request Form
Personal Information
First Name
Last Name
Phone Number
Email Address
Venue Location
Venue Name
Street
Street 2
City
State	Ohio Pennsylvania West Virginia
Zip
Services
	Music DJ - 2 Hours
	Music DJ - 3 Hours
	Music DJ - 4 Hours
	Music DJ - 5 Hours
	Music DJ - 6 Hours
	Karaoke DJ - 2 Hours
	Karaoke DJ - 3 Hours
	Karaoke DJ - 4 Hours
	Karaoke DJ - 5 Hours
	Karaoke DJ - 6 Hours
Additional Info
	Disco Ball - No additional charge
	Party Lights - No additional charge
	Fog Machine - $25 additional charge
How long do you want us to appear at your venue?	Once Twice Once a week Twice a week Once a month Twice a month Every week Undecided