Request for more INFORMATION: (all information is optional)

First Name:

Last Name:

School / College:

Title (if student, write committee you are on):

Mailing Information:

School Address: 

City:  

State:     Zip Code: 

Contact Information:

Phone Number:    ext:

E-Mail:

Location of School Dance:

Name of Location:

City:    

State:    Zip Code: 

Event:

Date of Dance:  

Theme or Name of Dance: 

Number of Students Attending:

Time of Dance:    Event Starts at

                            Event Ends at

Additional Comments / Information:

What type of entertainment and/or atmosphere do you want created at your event.  Please provide as much detail as possible (pep rally vs. homecoming /  do you want high energy entertainment or just music?  etc...):

How did you learn of our website and/or Universal Sounds Inc?

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