Disk Jockey Information Form
Name
*
First Name
Last Name
Address for event
*
Street Address
Street Address Line 2
City
State
Postal Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of event
*
-
Month
-
Day
Year
Date
Event Start TIme
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Packages
*
Small
Medium
Large
Concert
Professional Lighting
Music Type (Select all that apply)
*
Hip-Hop
R&B
Reggae
Oldies
Top 40
Reggaeton
Rock
Other
Favorite Artist
Extra Equipment
See Add On's
Wil'in Rep Name
Submit
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