| Occasions Entertainment Contact
Form |
Phone:570-454-6676
Email: djmag@ptd.net |
35 South Hollywood Blvd.
Hazleton, PA 18202
|
Please
fill out this entire form and submit for a prompt response: |
| Name: |
|
| Email: |
|
| Phone: |
|
| Address: |
|
| City, State, Zip: |
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| Event Type: |
|
| Event Location: |
|
| Number
of Guests: |
|
| What is the best way to contact you?: |
Cell Phone
Home Phone
Email
|
| Would you like to set up a meeting?: |
Yes
No
Maybe
|
| Event
Date: |
|
| Event
Times: |
to
|
| Your
Message: |
|
| How Were You Referred: |
|
