PRELIMINARY QUESTIONAIRE                                                                          TODAYS DATE____________

SHOW DATE __________DAY ______ REFERRED BY_______________________________how did you get my #

SHOW START TIME___________ ^am _pm                         

PERFORMER______________________________________________                                  

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YOUR INFORMATION

CONTACT FIRST NAME_______________________LAST NAME_____________________

COMPANY NAME if applicable­­­__________________________________________________

COMPANY / ADDRESS_______________________________________________________

MAIL/HOME ADDRESS_______________________________________________________

HM PHONE(____)________________________  WK PHONE(____)____________________

CELL PHONE(____)______________ FAX(____)______________2^ND #(____)___________

EMAIL_____________________________________________________________________

SHOW TYPE_______________________________________________________________

SHOW ADDRESS___________________________________ PHONE _________________

DIRECTIONS_______________________________________________________________

_________________________________________________X STREET________________

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Birthday, wedding or ???                                      If it's a birthday

EVENT_______________ M_F_ GUEST OF HONOR__________AGE____ DOB_________

 How will the guests be dressed?

DRESS________               THEME________               COLORS__________

# OF ADULTS________CHILDREN ________ AGES_______

REV 6/12/09