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COOLE KARAOKE Party Request Form

Personal Information

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Party Information

Date of Party

Type of Party

Party Given For Who??

Party Location

Street Address

City

State

Zip Code

Music Genre Main Style Requested

Preferred Genres

Song Requests

Services and Rates

Services Fees (For the Spring Hill/NW Pasco Area Only)

Minimum 4 hour initial period - $150

4 Hrs plus 1 Additonal Hour - $180

4 Hrs plus 2 Additional Hours $200

Extras

Special Effects Lighting - $25

Fog Machine - $20

Credit Card Information

Our orders are processed by PayPal. Once your form has been submitted we will acknowledge your date, confirm the cost and then refer you to PayPal where you will then enter in your payment information and make it payable to:
coole_karaoke@bellsouth.net

NOTE: A minimum deposit of $50.00 (non-refundable) is required to secure your requested date. If your date is not available we will let you know prior to any payments being made.

Indicates Response Required

Alternative	Blues
Country	Doo-Wop
Folk	Hip-Hop
Motown	Oldies
Pop	Rock
Standards