Name*                     

Mailing Address*          

City*                          State*         Zip*   

Day Time Phone                Evening Phone 

Fax                         

E-mail*                    

Date of Event*           

Location of Event         

Start Time                   End Time

Type of Event             Wedding Company Party School Dance Fashion Show Small Party (under 50 people) Other

How would you like to receive your information?* U.S. Mail E-mail Daytime call Evening call Fax

What services would you like information on?    Disc Jockey Video Disc Jockey Karaoke party Karaoke rental Sound Re-inforcement Other

How did you hear about Paradise Inc.? Referral from a friend Referral from service provider Yellow Page SuperPages.Com Attendee of a Paradise Inc. event Link from another site DiscJockey.Com DirectCatering.Com Online Search Engine ie Google or Yahoo Other

*Required for processing