Live Music Service Inquiry Form

Live Music Service Inquiry Form

Please provide detailed information about your event to assist with planning and coordination.
Thank you for your interest in live music services with Phill Konopka Music. Please complete the form below with as much detail as possible. This information helps with planning, scheduling, equipment requirements, musical preparation, and overall event coordination. This form is intended for:

Funerals and memorials • Corporate events • Dinners and receptions • Community performances • Background music engagements • General live music performances
Your Full Name or Name of Representative

First NameLast Name
Name of Organization (if applicable)
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event Date

MonthDayYear
Date
Event Start Time

Hour Minutes

AM/PM Option
Event Location (Venue Name & Address)
Type of Event
Estimated Number of Guests
What style(s) of music do you prefer?

Other
Will sound equipment be provided at the venue?
Briefly describe your event and any special details, additional notes, requests, or questions
Please note:
Submission of this form does not guarantee booking
Services and pricing are confirmed through invoice and signed agreement
Outdoor performances require appropriate weather protection and access to power where applicable
Travel fees may apply for events outside the Greater Ottawa area
You may be contacted for additional details or consultation prior to confirmation.
Should be Empty: