Asylum DJ Productions Lorain, Ohio 44055 Request for Information Form Fill in all appropriate parts of this form, then click "Submit" to send. Name Email Address City State Zip   For a quote, complete all of the applicable event information below: Event Name Event Date Event Time Earliest time available for set-up Event Facility Name Event Room Name or Number Event Address Event City Event State Event Zip Code Event Special Theme Event Coordinator Name Event Coordinator Title Event Coordinator Phone Number Number of Guests Expected Click on all age groups expected at the event: Infant to 11 years 12 to 14 years 15 to 16 years 17 to 18 years 19-20 years 21-30 years 31-40 years 41-50 years 51-60 years 61 and above years Click on prefered DJ dress: Tuxedo Casual Business Casual Semi-Formal Theme (Westers, Luau, etc.) Other Lighting Required: No Yes. indoor small show Yes, indoor large show Yes, outdoor small show Yes, outdoor large show   Your Entertainment Consultant Contact: Jeremy Hudgens Tom Dake No contact assignment yet