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THIS FORM IS FOR  REQUESTING THE FOLLOWING  SERVICES:

 *RETIREMENT  HOME ACTIVITY ENTERTAINMENT
 
*PRIVATE PARTY MUSIC
*WEDDINGS AND RECEPTIONS

*MOTIVATIONAL  SPEAKERS
 
*RESOURCE MANAGEMENT CONSULTANT  SERVICES 
PLEASE FILL IN YOUR TYPE OF SERVICE NEEDED AND CONTACT INFORMATION BELOW. WHEN LISTING YOUR EMAIL ADDRESS  - IF YOU HAVE AN AOL ACCOUNT , PLEASE CHECK YOU SPAM FOLDER  - OTHERWISE  OUR ENTERTAINERS WILL NOT BE ABLE TO EMAIL YOU. TO REMEDY THIS  LIST A GOOD PHONE CONTACT NUMBER,  SUCH AS  A FACILITY NUMBER