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Please complete all areas of the form below:

Enter the date of your reception or function:
Approximate start time for band:	Duration (Hours)
Name of venue:
Location (City, State):
Entertainment Budget:

What best describes the musical style you are looking for.
Select any of the following options that apply:

Diverse Band -Able To Play All Styles Convincingly
Motown, Soul, Funk Flavored Band
A Group That's Quite Different-But Still Appropriate For a Reception
Jazz, Swing From Glen Miller To Brian Setzer
A Band That Has A Rock n' Roll Feel
A Group That Has An Island Feel Calypso, Reggae Etc.

Other:

Contact Information:

First Name
Last Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Home Phone
E-mail

What directed you to the Moonglowmusic.com website?

Magazine	Web Search
Boston Bride/Modern Bride Site	Band Showcase
Conventional Yellow Pages	Internet Yellow Pages
Referral	Mass / Rhode Island Wedding Guide
Other: