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CHARLES DICKERSON
CHUCKY ONE ENTERTINMENT
(615)213-4649
[email protected]
[email protected]
NAME                  Address                     Event Type
Phone             City,State & Zip Code             E-Mail
Event Date            Event Start Time            Event End Time
Event Venue         Venue Address               VenuePhone
Room Name      City, State & Zip Code       Venue Email
Contact Person     What Floor is the room on      Elevator
Guest Arrival Time
Theme Song
Other Information:
On a scale of 1 to 10 (10= Best), Please rate each music category in terms of the likely appeal to the dancers in your crowd
1970's        1980's        1990's        Blues        Hip Hop/Rap        R/B
Jazz        Motown        Instrumental       Oldies      Religious       Reggae
What is the average age of your guests?
Please include directions to your facility
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