CONTACT INFORMATION

First Name*

Last Name*

Company/Community/Organization

Your Title

EMail*

Confirm EMail*

CELL Phone*

BUS Phone

EVENT INFORMATION

Event Date*

Event Type*

Event Location Name*

Event Address*

PERFORMANCE DETAILS

Type of Game Show(s) requested*

Jukebox MemoriesMusic Video BingoTwo-Team FeudGroup-Team FeudJeParody! Quiz ShowThe Battle of the SexesThe Race Is OnThe NOT SO Newlywed Game
 
Start and End Time of the Game Show(s)*
(not the start & end times of the event)

Approximate Number of Attendees*

Approximate Age Range*

Does the event location supply the sound system?*

YesNoNot Sure

Does the event location supply a large screen & projector? (not applicable for Jukebox Memories)*

Large ScreenProjectorNoNot SureNot Applicable

Comments or Questions? (not required)

 

You’re almost done – while it’s a bit premature to extend congratulations to you, hopefully there’s only one more step! Once you have completed the form, please click the Get A Quote button below to send your quote request. Upon doing so, please be patient, as it may take a few moments to be sent. Note that if you didn’t fill in all of the fields marked with the asterisk symbol *, you’ll receive an error message. This means you need to go back and fill in the incomplete field(s). After doing so, then click the submit button once again, at which time you’ll receive a congratulatory message from Doug!

Thank you! I’ll be speaking with you soon – Doug Shannon!

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