Name: (Required)
Company: (If Applicable)
Address:
City, State  Zip Code
E-Mail: (Required)
Evening
Phone:
Day Time
Type of Event
Time
Event Date
Am
Pm
Event Location or Venue
Number of Guests
P A Equipment
Yes
No
Type of Artist Desired?
Other
Band
DJ
Any Special Artist Preferences
Cake
Yes
No
Photographer
Yes
No
Limousine Service
Yes
Hours
No
Printing/Design of Media:  Fliers ect
Yes
No
Selected Children's Activities (If Applicable) :
Cupid Shuffle
Cha Cha Slide
Hokey Pokey
Chicken Dance
Club Med Song
Macarena
Limbo
Whip-Nae Nae
Wobble
Dougie
YMCA
Hustle
Cotton Eyed Joe
Other selections:
How Do You Wish To Receive Information?
How Did You Hear About Uforia Entertainment?
WE LOOK FORWARD TO HELPING YOU WITH YOUR ENTERTAINMENT NEEDS.
THANK YOU!