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Event ID #
Name (First & Last)*
Address*
City, State & Zip:*
State:*
State
PA
NJ
Zip Code:*
Applicants Birthdate*
-
January
February
March
April
May
June
July
August
September
October
November
December
Birthdate*
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year*
E-Mail*
Telephone No. (10 Digits)*
Phone No.*
Phone No.*
Event Date*
-
January
February
March
April
May
June
July
August
September
October
November
December
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
2011
2012
2013
Hourly Rate
How many hours? (3 min.)*
Start Time*
-
1
2
3
4
5
6
7
8
9
10
11
12
Minute*
-
00
15
30
45
AM/PM*
-
AM
PM
End Time*
-
1
2
3
4
5
6
7
8
9
10
11
12
Minute*
-
00
15
30
45
AM/PM*
-
AM
PM
Rate Quoted (see help on right)
Hire My Photographer?*
-
No Thanks
All Day Service $499.99
1 Hour $75.00
2 Hours $150.00
3 Hours $225.00
4 Hours $300.00
5 Hours $375.00
6 Hours $450.00
B`day Boy/Girl Name*
Is this a Sweet 16?*
-
Yes
No
Actual Birthdate*
-
January
February
March
April
May
June
July
August
September
October
November
December
Birthdate*
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year*
Age Becoming*
Approx. Attendance*
Age Range of Guests*
DJ Personality Level*
Select
DJ Personality Level
No Involvement (Minimal Talking)
Conservative (Verbal Interaction)
Moderate (Mild Participation)
Involved
Explicit Content*
Choose Preference
Edited Content Only
Mild/Suggestive OK
Total DJ Services
Total Photo Services
Total Contract Amount
Location/Facility Name:*
Address*
City, State & Zip:*
State:*
State
PA
NJ
Zip Code:*
How did you find me?*
Choose One
Yahoo
Google
Bing
yellowbook.com
YB Yellow Pages
weddingwire.com
1800djs.com
Other
Other (be specific)*
TERMS & CONDITIONS OF SERVICE
By submitting this application you confirm that you have read and agree with the terms and conditions as provided above and understand that upon approval of your application and receipt of your deposit, you will be obligated to these terms.
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