Rate Questionnaire
Only radio edited (clean) versions of music will be played
Event Date
*
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Month
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Day
Year
Date Picker Icon
Event Time
*
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Hour
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15
30
45
Minutes
AM
PM
AM/PM Option
Until
until
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Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Name of Organization or Person Hosting Event
*
Name of Event
*
Name of Facility/Building
*
Facility/Building Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Facility/Building Phone Number
*
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Area Code
Phone Number
Earliest time DJ can arrive to begin setup. 2 hours or more prior to start time is preferred.
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Type of Service
*
Please Select
DJ with Sound System
DJ Only (Venue has Sound System/Sound Person)
Sound Rental Only (Conference/Forum/Town Hall/Speeches)
Sound Rental Only (Vocalist/Solo Instrument Player)
Estimated Attendance
*
Please Select
20
30
40
50
60
70
80
90
100
150
200
300
400
500 - 600 (Additional $250)
600 - 700 (Additional $250)
700 - 800 (Additional $250)
800 - 900 (Additional $250)
1,000 (Additional $500)
1,500 - 2,000 (Additional $1,000)
3,000 & Up ($$$$$)
Target Age
*
Please Select
Kids & Adults
High School
Middle School/Junior High
21&Up
30&Up
40&Up
50&Up
60&Up
70&UP
Admission
*
Please Select
$0
$1.00
$5.00
$10.00
$15.00
$20.00
$25.00
$30.00
$35.00
$40.00
$45.00
$50.00
$55.00
$60.00
$65.00
$70.00
$75.00
$80.00
$85.00
$90.00
$95.00
$100.00
$150.00
Over $150.00
Attire
*
Please Select
Fun & Comfortable
Jeans OK but NO Sneakers
Semi-Formal (Slacks & Dresses)
Formal (Suits & Gowns)
Does this facility have a pre-installed sound system for the DJ to use
*
Please Select
Yes, DJ can plug his mixer into facility's speaker system
No, DJ will have to bring his own speakers and other equipment
This event is
*
Please Select
Indoor
Outdoor
Indoor & Outdoor
Where will the DJ be placed
*
Please Select
Indoor
Outdoor
How will the DJ power their equipment
*
Please Select
3 prong grounded outlets available INSIDE building less than 100 feet for DJ table
3 prong grounded outlets available OUTSIDE building less than 100 feet for DJ table
No indoor or outdoor 3 prong outlets available, client will provide grounded generator with 3 prong outlets
No indoor or outdoor 3 prong outlets available, DJ will provide grounded generator with 3 prong outlets (additional cost)
Where will the speakers be placed at this venue
*
Please Select
Inside one room
Outside
Inside two separate rooms (additional cost)
Inside and outside (additional cost)
How many wireless microphones require
*
Please Select
1 (included)
2 (Additional $100)
3 to 4 (Additional $200)
No wireless microphones required
Add-Ons
*
Add $150 Uplight Package
Add $400 Dry Ice Fog Machine (Cloud on Floor)
Add $400 Cold Sparks (Pair) Outdoor Only
None
Theme Colors/Wedding Colors
*
Table Cloth Color
*
Full Name
*
First Name
Last Name
E-mail
*
Phone
*
-
Area Code
Phone Number
Form of Payment
*
Please Select
Cash
Cash App
Credit card (+ 4% Online Invoicing)
Cashier's Check
Referral Source
*
Follow me on social media
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