Diver G Entertainment, LLC
Information Request Form
Date Of Event *
First Name *
Last Name *
Organization/Fiance
Email Address *
Telephone *
Best Time To Reach You
Start Time *
Estimated End Time *
Type Of Event *
Package Desired
Additional Questions Or Event Details
How did you hear about us?
What are the age(s) of the guest?* 
Younger than 18
18 - 29 years old
30 - 39 years old
40 - 49 years old
50 - 50 years old
60 or older
Approximately how many guests is this for?* 
Which types of DJ services would you consider?* 
Walk in DJ using mine/venue's equipment
DJ using their own equipment
Other
Which type(s) of music would you consider?* 
Chart
Country
Hip-hop / Rap
House
Pop
R&B / Soul
Rock
I would like to discuss with the pro
Other
What type of venue is this for?* 
Event Hall: Hotel/Conference venue
Local Hall/Community Center
Nightclub
Private Residence
Other
Promotional Code

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