|
|
Red denotes required information
|
|
First Name:
|
|
|
Last Name:
|
|
|
Email:
|
|
|
Phone:
|
|
|
|
The best time and date to call is:
|
|
|
—— 
|
|
|
|
|
|
I am looking for entertainment for my:
|
|
|
|
|
|
Other
|
|
|
My event is taking place at:
|
|
Venue Name:
|
|
|
City:
|
|
|
State:
|
|
|
Country:
|
|
|
This is a:
|
one-time event ongoing gig
|
|
It will begin at:
|
—— 
|
|
|
Entertainment is needed for hours
|
|
|
The approximate number of guests expected is:
|
|
|
"The entertainment I'm looking for is..."
|
|
|
|
|
|
*Please provide details! Specific type of entertainment needed, venue description, approximate budget, etc.
|
|
|
|
|
|
And finally, please answer the following three questions:
|
|
|
How far along are you in your search?
|
|
|
I just started looking
I've been looking for a few weeks
I've been looking for months
|
|
|
When do you hope to make a decision?
|
|
|
As soon as possible
Within the next couple of days
Within the next few weeks
Within the next couple months
|
|
|
Who (or what Website) referred you to Dave Hill - Hypnotist?
|
|
|
|
|
|
|
|
|
—
|