PRELIMINARY INFORMATION
How did you hear about Powerstation?	(Select from List) Internet Search Personal Referral Yellow Pages Prior Event Other    If online, which site?   (Select from List) Google.com Yahoo.com AOL.com MSN.com Lycos.com AllTheWeb.com theKnot.com WeddingChannel.com Other
Please provide additional detail:
Desired service(s):	DJ/Entertainment   Photo  Video  Event/Rental  Other
ABOUT YOUR EVENT
What type of event are you planning?	(Select from List) Wedding Bar Mitzvah Bat Mitzvah Anniversary Party Birthday Party College/School Party Civic Event Corporate Event Fund Raiser Holiday Party Reunion Other Event     Describe if Other:
Name of guest(s) being honored?
When is your event scheduled?	(Select Day)    Saturday Sunday Monday Tuesday Wednesday Thursday Friday    Date:   (Month)    Jan Feb March April May June July Aug Sep Oct Nov Dec   (Day)    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   200820092010 Other
Where will your event be hosted? (Name of Facility & Room and City & ST)
What time of day is your event?	(Starting) 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm (noon) 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm 12:00am (midnight) 12:30am 1:00am 1:30am 2:00am    (Ending) 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm (noon) 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm 12:00am (midnight) 12:30am 1:00am 1:30am 2:00am
ABOUT YOU
Name (First / Last):
Street Address:
City, ST, ZIP Code:
Phone - Work:	Home:    Cell:
Callback preference:	Morning   Mid-Day   Evening
Email Address:
Fax Number (if applicable):
Please provide any additional details about your event needs in the box below:
Please review your information before submitting this form. Click Submit ONLY once. You will see a new page when complete. One of our associates will contact you shortly to respond to your request.
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