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(866) XPLO-ENT (732) 866-1620

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Xplosive Entertainment
Information Request Form

Date Of Event*

Your First Name(s)*

Last Name*

Organization/Fiance

Email Address*

Phone*

Expected Guest Count

Start Time

End Time

Event Location (venue)

if your event location is not listed above please fill in the following…

Event Location (Venue)*

Event Location (City)

Event Location (State)

Type Of Event*

How did you hear about us?

Event name:

Guest(s) of honor:

Expected Entertainment Budget:

Notes: