DisctillDawn Entertainment
Information Request Form
Date Of Event
First Name
Last Name
Company Name
Email Address
Address
Address Line 2
City *
County *
Post Code *
Telephone
How many guests are expected?
Setup Time:
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)
Occasion
Individual Service or Package Selection
Additional Questions Or Event Details
How did you hear about us?
Photo Booth Selection (if included in package)
Accessories Selection (if included in package)
Premium Disco Colour
add-ons:
Mood Lights x4
Mood Lights x6
Mood Lights x12
Mood Lights x24
Starlit Dance Floor
4ft Light Up Numbers x1
4ft Light Up Numbers x2
4ft Light Up Numbers x3
4ft Light Up Numbers x4
4ft Light Up 'Heart'
4ft Light Up 'MR & MRS' Letters
4ft Light Up 'LOVE' Letters
4ft Light Up 'LOVE' with 'Heart' replacing 'O'
Evening Photography (Platinum & Diamond Packages Only)
Is this a booking or an enquiry?* 
Is the venue located on the ground floor?* 
Is this a surprise event?* 
Are you over 18?* 
Promo Code

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