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