Party Planner

Up

Back Next

Rocking Roger's D. J. Express

Roger Trujillo

P. O. Box 803

Everett, MA 02149

Phone: (781) 608-8392

Fax: (617) 687-8045

E-Mail: RockingRoger@aol.com Web Site: www.rockingroger.com

Name: __________________________________________ E-Mail: ______________________________________

Home Phone: ____________________________________ Work Phone:___________________________________

Type of Function: _________________________________ Number of Guests:______________________________

Place of Performance: _____________________________________ Phone: _______________________________

Address: _______________________________________ Stairs: ____ Yes ___No Elevator: ___Yes ___No

                  _______________________________________

Room Name: _____________________________________________

Performance Hours: ( : A.M. / P.M.) to ( : A.M. / P. M.) Date of Function: ________________________

Rate the types of music you would like to hear at your event:

(0) indicates no music of that type. (4-7) indicates a medium concentration.

(1-3) indicates a minimal concentration. (8-10) indicates a maximum concentration.

( ) Variety ( ) Instrumental ( ) Big Band ( ) R & B / Dance ( ) Rock ( ) Country ( ) Polkas

( ) Alternative ( ) 50's ( ) 60's ( ) 70's ( ) 80's ( ) 90's Others: ___________________

 

List the recording artists you and your guests would enjoy dancing to:

( To allow your guests to make requests at your event, please do not exceed 8 artists)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

List any special songs you and your guests would enjoy dancing to:

(To allow your guests to make requests please do not exceed 12 songs)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

 

Return at least one month prior to performance