* Is this a Surprise Party? 

* What Year Birthday is this? 

* Birthday Person's Name: 

* Contact Person: 

* Contact Person's E-mail: 

* Contact Person's Telephone Number: 

* Mailing Address: 

    Apt. No.: 

* City: 

* State: 

* Zip: 

* Birthday Party Date: 

    Actual Birthday Date: 

Reception Hall Name and Location: 

    Estimated Start Time: 

    Estimated End Time: 

* Preferred Event Package:  Please select one Standard Reception Package (2 to 3 hours dancing) Deluxe Reception Package (up to 4 hours dancing) Ultimate Reception Package (up to 8 hours dancing)

 *Tell us how you found us:

*Your information packet will be mailed out within 24 hours.  If you would like a follow up phone call to answer any questions, please check   Yes    No

* Denotes required field

Please note that if no start or end times are set, the price quoted will be for the standard hours of 6 p.m. to 12 a.m.  All party packages come with FREE unlimited cocktail music, FREE unlimited dinner music, and FREE dance floor lighting packages.