SERVICE REQUEST FORM (This information will NOT be shared with anyone else.) Be sure to click the "Submit this Request" button at the bottom of the form when you are ready to send your information. Your entries will introduce me to your event and and start the process to see if I am available for your event date. Dates are not considered reserved until a deposit is received. Please fill in all spaces, especially those with a "+" by them. If you make other plans, be sure to let me know as soon as possible so that I can make other plans. Dates for services are reserved after all of the following are completed You submit this form I inform you that the date is available A deposit is sent and acknowledged. Commitments for services are not final until an Agreement form and deposit is received. See the Getting Started page to review the complete process. Please fill in all spaces, especially those with a "+" by them.

Event Information + Event Name:

+ Date of Event:

+ Time of Event:

+ Estimate for Number of Guests:

+ Location of Event:

Indoors Outdoors

+ Location Contact for your Event (Name, Phone Number):

Base Rate The base rate includes a maximum of 2 hours, 2 loudspeakers on tripod stands, one wireless lavaliere or headset microphone. Four Microphones on cables will be available if needed. The site provides electrical power. The Base Rate is a charge for actual performance. No additional charges for setup or packup. The Base Rate is $250 for any type of event.

Please Select Additional Options to Start the Planning Process. Wedding Ceremony [$50] Basic Wedding Package (My standard ceremony play list includes Prelude, Processional, Recessional, and Postlude themes as needed) [$100] Deluxe Wedding Package (You can choose ceremony music from the Amplification Anywhere library) [$200] Custom Wedding Package (Your ceremony play lists are from outside the library or for support of live musicians).Wedding Ceremony [$150] Background music for a 3 hour reception (select a theme) Chamber music Smooth Jazz Easy Listening New Age Presentation Event [$100] 2 hrs Additional Time. [$200] 6 hrs Additional Time [$750] 4.5 Days (Monday to Friday Afternoon) Background Music During Breaks [$15 per each 15 minute break] Chamber music Smooth Jazz Easy Listening New Age [$50] Extra Wireless Handheld Microphone with a human mic stand/runner for a Q & A session with guests. Additional Expenses That May Be Required [$100] 4 hours of Battery Power, if site does not have adequate power. [$100] Audio Recording (Mono) of event by Sony MiniDisc (~160 minutes max) and conversion to CD as .wav or .mp3 Sales tax for Audio Recordings 2 Additional Speakers on Stands Round Trip Mileage [@ $0.50/mile + fuel surcharge, first 20 miles free]

Base Rate [$250] + Additional options ($ ) + Additional Expenses ($ ) Total Cost Estimate:

Your Contact Information

+ Your Name:

+ Your Email Address:

+ Your Postal Address:

+ The Phone Number I Should Use to Contact You:

Your Additional Contacts (Email or Phone Numbers):

Additional information about you or your event:

Other questions you want to ask before I contact you:

Be sure to click on the "Submit this Request" button after you have filled in the boxes. After you click on the 'Submit Request" button, this form will be emailed to us. You will also see your details in a temporary response web page that only you will see. You should copy or print this information for your records.