
Questionnaire, special requests & Agreement
Name: ___________________________ Address: _________________________________
Phone: ____________________ City & Zip: ________________________________
Occasion:_________________________ Date: ____________ Time: _____Start _____Finish
Event Address:__________________________________ City:_________________________
Special Instructions:________________________________________________________________________________________________________________________________________________
Special Music Instructions: ________________________________________________________________________________________________________________________________________________
Weddings Only: (please print) check__ 1st Dance__ Parent Dance__ Money Dance__ Toast
__ Garter Toss__ Boutique Toss__ Cake Cutting
Groom’s Name: ___________________________ Bride’s Name: _________________________
Best man’s Name:_________________________ Maid of Honor _________________________
Ushers:__________________________________ Bride’s Maids _________________________
___________________________________ __________________________
___________________________________ __________________________
___________________________________ __________________________
Ring Bearer: _____________________________ Flower Girl: ___________________________
Groom’s Parents:__________________________ Bride’s Parents:________________________
___________________________ ________________________
Step Parents: ___________________________ Step Parents: ________________________
___________________________ ________________________
DJ’s Agreement:
I _______________________ agree to pay Lorene Savelli, of Jammin with Gary the sum of $300.00 minimum or $150.00 an hour for the first 4 hours, additional time is $75.00 an hour for services rendered. A Non refundable $50.00 deposit is required to hold the date. Approximately ____ hours of entertainment is expected. Please respond as soon as possible to guarantee your date.
Please send this form back to me: (sign and keep one copy for your records, send 2nd to me.
Lorene Savelli
100 Cardinal Ln.
Vallejo, Ca. 94589 Phone 707- 552-4200