123ContactForm Logo



  



 
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 , PLEASE CHECK YOUR SPAM FOLDER IF YOU HAVE AN AOL ACCOUNT    - OTHERWISE  OUR ENTERTAINERS WILL NOT BE ABLE TO EMAIL YOU.
  LIST A "GOOD" PHONE CONTACT NUMBER,  SUCH AS  A "FACILITY NUMBER"

PLEASE DON'T LIST CELL PHONES!