Rate Questionnaire
Event Date
*
-
Month
-
Day
Year
Date Picker Icon
Name of Organization or Person Hosting Event
*
Name of Event
*
Name of Facility/Building
*
Facility/Building Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Facility/Building Phone Number
*
-
Area Code
Phone Number
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Estimated Attendance
*
Please Select
20
30
40
50
60
70
80
90
100
125
150
175
200
250
300
350
400
450
500
550
600
650
700
750
800 (Additional $200)
850 (Additional $200)
900 (Additional $200)
1,000 (Additional $300)
1,500 (Additional $500)
2,000 (Additional $1,000)
Does this facility have a pre-installed sound system for the DJ to use
*
Yes, DJ can plug his mixer into facility's speaker system
No, DJ will have to bring his own speakers and other equipment
This event is
*
Please Select
Indoor
Outdoor
Indoor & Outdoor
Where will the DJ be placed
*
Indoor
Outdoor
How will the DJ power their equipment
*
3 prong outlets available INSIDE building less than 100 feet for DJ table
3 prong outlets available OUTSIDE building less than 100 feet for DJ table
No indoor or outdoor 3 prong outlets available, client will provide grounded generator
No indoor or outdoor 3 prong outlets available, DJ will provide grounded generator (additional cost)
Where will the speakers be placed at this venue
*
Inside one room
Outside
Inside two separate rooms (additional cost)
Inside and outside (additional cost)
Uplighting
*
Yes - Add $100 Uplight Package
Not Required
Room size determines the number of up-lights. See example below
Example of uplighting: Before and After
Admission
*
Please Select
$0
$1.00
$5.00
$10.00
$15.00
$20.00
$25.00
$30.00
$35.00
$40.00
$45.00
$50.00
$55.00
$60.00
$65.00
$70.00
$75.00
$80.00
$85.00
$90.00
$95.00
$100.00
$150.00
Over $150.00
Target Age
*
Please Select
Kids & Adults
High School
21&Up
30&Up
40&Up
50&Up
60&Up
70&UP
Attire
*
Please Select
Fun & Comfortable
Jeans OK but NO Sneakers
Semi-Formal (Slacks & Dresses)
Formal (Suits & Gowns)
Theme Colors/Wedding Colors
*
Full Name
*
First Name
Last Name
E-mail
*
Phone
*
-
Area Code
Phone Number
Referral Source
*
Submit
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