DisctillDawn Entertainment
Information Request Form
Date Of Event* 
First Name* 
Last Name* 
Company Name 
Email Address* 
Mailing Address Line 2
Postal Code* 
How many guests are expected?
Start Time of event 
End Time of event 
Event Location (venue)* 
(if your event location is not listed above please fill in the following...)
Event Location (venue) 
Event Location (city) 
Package Options (addons available) 
Additional Questions Or Event Details 
How did you hear about us?
Interested in additional addons:Uplighting x8
Uplighting x16
Uplighting x32
LED Dance Floor
LOVE Letters
Light Up Numbers
Is this a booking or an enquiry?* 
Is your venue on the ground floor?* 
If not, is there lift access?
Is this event a surprise?* 
Are you over 18* 
Promo Code
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