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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
Theme Song
Guest Arrival Time
Other Information:
E-MAIL US OR GIVE A CALL TO
CHARLES DICKERSON
CHUCKY ONE ENTERTINMENT
(615) 213-4649

[email protected]
[email protected]
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
Enter starting street address:

City, State or Zipcode:
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