Sender's Contact Information:

First & Last Name	*
Phone #	*
E-mail	*

Company/Association/Organization Contact Information:

Name of Company	*
Street Address
Address (cont.)
City	*
State/Province	*
Zip/Postal Code
Country	*

Are You Currently Planning/Organizing an Event?
(Click inside the applicable box, to indicate.)
Yes       No

If YES how soon do you anticipate confirming the event program?

David Merry's Services:

Which of David's entertainment services are you interested in? :
(Click inside the applicable box, to indicate.)

Corporate Entertainment Package (sleight-of-hand magic during cocktails + the comedy show ) or
Comedy Show only or  
Golf Comic Package (includes all of David's Golf Comic Services)

What other Entertainers have you had in the past 2-3 years?

Event Details & Info:

Date(s) of Event(s):	*
Name of Host Venue:	*
Address of Host Venue:
City, Province/State & Country of Host Venue:	*
Zip/Postal Code of Host Venue:

Are you currently working with an A-V (audio visual) company? *
Yes (We'll handle the sound system and lighting for his comedy show, based on his technical requirements .)
No   (We would like you to quote on fulfilling his technical requirements.)

Name of A-V Company if Yes checked

What is the maximum budget for your Entertainment Program? *
(If David Merry isn't available for your date, we may be able to offer other suitable alternatives within the budget.) 

Do you already have budget approval?
Yes   No not yet.  Need an accurate quote for budgetary purposes.

Preferred Method of Contact:
Please phone me a.s.a.p. to discuss further.
E-mail

Please indicate how were you referred to this web site?
(ie. Google, Yahoo, Internet Search Engine, Link from another web site, BizBash, TSE Events, etc.)

Any additional comments or important information regarding your upcoming event?
(Please click inside box below and begin typing.)