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McSorley Music

774-688-1828 www.mcsorleymusic.com

e-mail: Walter@mcsorleymusic.com

AGREEMENT

          

Pl                                        Please fill out completely.  Please email Walter for mailing address.

 

Customer Information:

 

Name:

 

Address:                                                PO Box:

 

Town:                                 State:                  Zip code

 

Fax Number:

 

E-mail Address:

 

Function Information:

Date requested:                                                      Time requested:

                                                                                                      (minimum of 4 hrs required)

 

Location of Function: (please list full address)

 

 

Type of Function:  Wedding      Birthday      Graduation     Backyard barbecue  

Religious event      Anniversary          Holiday Party           Other: ___________________

 

Details: (ie special songs requested, types of music requested, type of birthday (sweet 16, child, Over the Hill, special announcements, name of guest of honor, use back if necessary)

 _______________________________________________________________________

________________________________________________________________________

 

Will you need to use the microphone?  Yes   No   If yes, please explain:

Payment Information:

Total Cost:

Deposit:20% (Due within 10 business days of receipt of this form)          $             .

Balance due at function.

Cancellation policy: Full refund of deposit if cancelled within 3 days of receipt of deposit.  If paid in full prior to function date, complete refund less deposit.

Please enclose deposit check with return of this form: check number:     

Amount:$           .          (Please make checks payable to Walter McSorley) 

Customer Signature: _________________________ 

Date: