Your name:
*
Address:
City, State:
*
Zip Code:
E-mail Address:
*
Telephone:
*
Alternate Telephone (i.e. Cell)
............................................................................................
What date are you planning to hold the party?
Approx. what time would you like the magic show to begin?
Name of person(s) having a birthday:
How old will the birthday person(s) be?
What is the address where the party be held?
Approx. how many children will be at the party?
1 - 5
5 -10
10 - 15
15 - 20
20 - 25
25 - 30
30 - 40
40 - 50
50 - 70
more than 70
I'm not sure yet
Is there a theme for the party? (i.e. Princess theme, Harry Potter theme, etc.)
Yes
No
Have not decided on one yet
If yes to the previous question, what is the party theme?
Approx. how many adults will attend the party?
1 - 5
5 -10
10 - 15
15 - 20
20 - 25
25 - 30
30 - 40
40 - 50
50 - 70
more than 70
I'm not sure yet
The party will be held at:
Private residence
Public restaurant
Community building
Hotel
Public Park - Outdoors
other
What are you interested in?
The Basic Show
The Deluxe Show
Balloon Sculpture Upgrade
How would you prefer to be contacted with a birthday party show quote?
Contact me by phone
Contact me by e-mail
Contact me by snail mail
How did you hear about Comedy Magician Lyndel?
Internet search
Linked to him from another web site
Saw him perform live
A friend told me about him
I saw an ad for his services
His name came to me in a dream
Anything else you would like for us to know?
Submit
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