Tim J. Rich Music®

Booking Request Form

Name

Email Address

Billing Address

Phone Number

Date of Event

Time of Your Event (i.e. 4pm-8pm)

Venue Name & Address

If Event is outdoors, are there power outlets within 6ft of the event set up?

Type of Event (i.e. birthday party, family reunion, holiday party)

Type of Entertainment Desired (i.e. DJ, karaoke, live band)

Number of Guests Expected to Attend (i.e. 50-100)

Entertainment Budget (i.e. $200-$300)

How did you hear about us?

Special Request, Questions, or Comments

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