Your Name:   

Date Of Event:   

Time Of Event:   
(start:)     (finish:) 

Location Of Event:   

Type Of Event:
Bar Mitzvah (Please enter name below) Bat Mitzvah (Please enter name below) Holiday Party Birthday Party Wedding Reception Wedding Ceremony & Reception School Dance (Please enter name of school below) Retirement Party Class Reunion (Please enter name of school and graduation year below) Other (Please specify below)

If you have chosen Bar or Bat Mitzvah, please enter their name:

If you have chose "School Dance" or "Class Reunion" please enter the name of the school, and the year of graduation (for Reunions):

Your Address:   
(number:)        
(street:)      
(apt #:)   
(city, state:)        (Zip:) 

Phone Number(s)/Email Address:
(day:)        (evening:)   
(email:)   

How Did You Hear About DJ-K Productions?
Please Select One: On The Web Referral Advertisement Saw You In Action! Previous Client Mail

If you are a previous client, what was the date of your previous event?

Do You Have A Particular DJ In Mind?
No Preference Ken Daryl Victor Chris Jon Andre

Are You Interested In Adding Options To Your Event?  (This merely indicates an interest and does not obligate you in any way.  Refer to the "Options" section)
No Add-Ons At This Time Extra Speaker(s) Scrapbook Package Basic Lights Package Deluxe Lights Package Black Light Basic Game Show Package Bonus Game Show Package Par 64s Package  

Would You Like Party Favors At Your Event?  (See the "MakesParties" link on the home page)

Is There Any Other Information You'd Like To Provide About Your Event?  
 

Thanks for submitting your information!