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1.

Date of my event is;


Date

2.

Email:

My email address is:

3.

Phone #

My Best Phone # is:

4.

My name is

5.

I am planning a:

	Wedding
	Company Picnic
	Corporate Event
	Quince
	Mitzvah
	Teen Party
	Birthday/ Anniversary
	Children's Party
	Holiday Party

	Other

6.

My Estimated Budget for this event is:

7.

Check all that apply:

I Still Need:

	DJ
	Photography
	Videography
	Specialty Entertainment
	Hotel Accomodations
	Florist
	Transportation
	Make Up Artist
	Musicians/Band
	Clergy Person

	Other

8.

Financing Plans:

I am interested in Suzy Q's financing options

	Yes
	No
	Maybe

	Other

9.

Best Time To Contact:

	Morning
	Evening
	Afternoon

	Other

10.

I was referred by:

11.

Tell us a little about what your expectations are for this event:

South Florida: 954-563-2529 Palm Beaches: 561-459-8077 Treasure Coast: 772-634-1814 Orlando: 772-419-8137

TOLLFREE NATIONWIDE# 866-410-1478

Florida areas we service: Altamonte Springs, Apopka, Boca Raton, Boynton Beach, Cape Canaveral, Casselberry, Coral Springs, Davie, Delray, Ft Lauderdale, Ft Pierce, Hobe Sound, Hollywood, Hialeah, Jensen Beach, Kissimmee, Lake Worth, Lake Buena Vista, Lauderhill, Margate, Miami, Miami Beach, Miramar, North Lauderdale, North Palm Beach, Orlando, Palm Beach, Parkland, Plantation, Port Saint Lucie, Royal Palm Beach, Stuart, Sunrise, Vero, Vero Beach, Weston, Wellington, West Palm Beach, Winter Park, Winter Haven