Please fill out the questions below and one of our representatives will be in touch with you!
Company/Individual Name:
*
Contact Full Name:
*
Email Address:
*
Address:
City:
State:
Zip:
Phone:
*
Fax:
Other Contact Number:
Date of your party:
Type of Event:
Fundraiser/Charity
Business/Corporate
Birthday
Grand Opening/Promotion
Grad Night
Bar/Bat Mitzvah
Holiday Party
Private/Residential
Other
Site Information
Private Residence
Hotel
Restaurant
School/Hall
Office
Other
City of party:
How long will your party last?
Gaming Hours
Less than 3 hours
3 hours
More than 3 hours
Games Interested In
Poker
Craps
Roulette
BlackJack
Let It Ride
Poker Pai Gow
3 Card Poker
Number of guests:
How would you like your quote sent?
Phone
Fax
Email
Additional Entertainment Options:
Bartenders
Servers
Soundsystem
Type of party:
Corporate
High School
Private Party
Is your event a surprise?
No
Yes
Additional comments: