Form

Form

Couture Concoctions Booking Inquiry Form
Name

First NameLast Name
If inquiry is about Wedding/Reception, please provide your new last name (that it will be changed to once you are married)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How did you hear about us?
Select an option
Did anyone refer you? (If so please put their name & email)
Social Media Info
Any social media platform information to tag you
Event Information

Please provide all your event details below:
Date of Event

MonthDayYear
Date
Event Start & End Time
Example: 4pm-9pm
Expected Number of Guests
Venue Name (Event Center/Space or Residence, any building Info)
Venue Address (If no address available yet, please put " N/A")

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Type
Do you have an Coordinator/Event Planner?
Please provide their Company Name/Person & Phone Number
Event Colors/Theme
Amount of Hours Needed
BarTender/Bar start & end Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Bar Availability
Will The Bar Be Setup Outside or Inside?
File Upload

If you selected "Venue Bar", please send over picture of their bar area.
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Are Tip Jars Allowed?
Do you have a Budget?
Have you viewed our rates, if not what is your budget?
The client is responsible for providing all liquor, beer, wine and any drink mixer beverages such as sodas or juices { depending on package chosen)
Beverage Types Provided by Client
Please list any additional options that you would like to add-on to your event service.
Couture Concoction’s Package Selection (Breakdown of packages visit website)
*(ONLY COMPLETE THIS SECTION IF YOU SELECTED " SMOKE EFFECT PACKAGE, IF YOU DIDN'T SKIP OVER)* If you have selected Smoke Effect Package (Dry Ice) selection/package, please select from the below so that an accurate quote can be provided. Please note prices will change according to your selections.
Additional Event Details:
Please provide additional information about your event you may need us to know and/or including, if venue has stairs, etc. * If you are inquiring for Smoke Table, please be as detailed as possible regarding your setup vision.
A Non-Refundable Initial Deposit is required to reserve your date. If you understand these terms please select below.
Signature
Should be Empty:

Form

Event Information