Thanks for your interest in our organization!

Please take a few moments to complete the form below. This will help us prepare more effectively to meet / talk with you about your forthcoming event.

What type of event are you planning? Select an Entry Anniversary Bar / Bat Birthday Party Corporate Entertainment Family Occasion Outdoor Event Retirement Wedding Other Special Occasion

What is the date of your event? January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009 2010

What time would you like the music to start? 1 2 3 4 5 6 7 8 9 10 11 12 AM PM

What time would you like the music to finish? 1 2 3 4 5 6 7 8 9 10 11 12 AM PM

Where is the event being held? San Francisco Marin East Bay Napa/Sonoma/Wine Country South Bay/San Jose Other Northern Cal Outside Northern Cal

Do you know the specific venue?

How many guests are you expecting? Less than 50 50 - 100 100 - 200 200 - 500 More than 500

Describe the age range of your guests: Mixed ages Mainly older Mainly young people

To what degree would you like to feature the following musical styles?

Identify any specific songs you'd like to hear?

Identify any specific songs you don't want to hear?

Include both the song name and artist if possible.

Identify any other information or special requirements that you'd like us to be aware of?

Please Provide Your Contact Information

Name
Street
City
State
Zip
E-mail
Tel
FAX

How would you prefer us to contact you?

Phone E-mail Regular Mail

Where did you hear about Platinum Entertainment Group?

Saw You at a Previous Event Web Search Engine Friend / Referral Yellow Pages Partner Radio Advertising

If through the internet, which search engine and key words did you use?