Name: *

First Name

Last Name

Phone: *

(###)

###

####

Event Date: *

MM

DD

YYYY

What Genres would you like to be played? *

Please select all that applies.

R&B

Top 40s Hits/Pop

Hip Hop

Afrobeats

Reggae and Dancehall

Gogo

Gospel

Old School/Motown

Dance

Seasonal/Holiday (Christmas, Halloween, etc.)

What is the age demographic of your attendees? *

Please select all that applies.

Under 18 yr old

18-25 yrs

25-35 yrs

35-50 yrs

Over 50 yrs old