Please fill out the contact and event information form below

*How did you hear of us?Other:
What word or phrase did you search to find us? (if applicable)

i.e. Long Island DJs, DJ on Long Island, Kids DJs, Wedding DJ, etc.

Name of Purchaser(s):(Check if same as above)

*Date of your Event:**
*Time of your Event:*To:
*Type of Event:
For whom is the party:Surprise?
*Event Location:
Event Location Address:*Town:
*Approx. Number of Guests:Teens?Children under 12:

Your Mailing Address:*
*State:Zip Code:
Your Home Phone:
Work Phone:Ext.
Your Cell Phone:
*Your Email:  

*What is your approximate budget for this event?

(prices can vary depending on day of week and time of year)

Credit Cards Accepted:
Acct. No.
Name on Card:
Exp. Date:*
3 or 4 Digit Security Code:

*Preferred Lighting Package?
Which "party handouts" would you like to energize your party?
*In which entertainment package are you most interested?
Comments or Questions

Book Good Vibrations DJ Entertainment | Party Ideas | Long Island | 631-754-1032

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