Banger Bingo Show Request Form
Full Name
*
Email Address
*
Phone Number
*
Organization / Company Name
*
Type of Event
*
Please Select
Corporate Event
Fundraiser
Private Party
Festival
Other
Show Rating
Please Select
Family
14A
"R"
Drunk Rigger
Number Expected to be in attendance
Venue
CIty
Desired Date and Start Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
How did you hear about us?
DJ Package?
Yes
No
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Comments / Questions / Special Instructions
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