Month: 

Day:  Year: 
Bride's First Name:  Bride's Last Name: 
Groom's First Name:  Groom's Last Name: 

Contact Person

First Name: 
Last Name: 
Relation to Affianced: 
Preferred Phone #:       
Secondary Phone #:       
Email Address: 
Mailing Address
Street: 
City:  State:     Zip Code: 

 

 

 

 

 

 

 

 

 

 
 
Locations:
Ceremony
start time:  		Shower
start time: 
duration: 
Cocktail hour
start time: 
duration:  		Rehearsal dinner
start time: 
duration: 
Dinner
start time: 
duration:  		Other: 
start time: 
duration: 
Event type (check all that you are considering hiring me for):
Location for 
Name: 
Street: 
City:  State:    
Location for 
Name: 
Street: 
City:  State:    
Location for 
Name: 
Street: 
City:  State:    

Please fill in as much information as you know and are comfortable giving me at this time.  The more you fill in, the more accurate of a price quote I can give you, and if you do decide to hire me I will have all the information necessary to send out a contract.

I will not send you junk mail or give out your information to anyone else..

Comments and other information: Where did you hear about me?
(Not the website)

Which one? 

(Google search, Google sidebar, Altavista, Ask Jeeves, etc.)
Which one? 
(ModernBride.com, ChicagoMarriage.com, UnionStation.com, etc.)
Which one? 
(BookLiveMusic.com, HarpGigs.com, Harpmall.com, etc.)
  Name? 
(Perhaps another harpist or bride.)