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Jerry@A1Fun.org
Your Name:
* required
Company Name:
Your E-Mail Address:
* required
Confirm E-Mail Address:
Phone Number (with Area Code):
Type of Event:
** Click to choose your Event Type >>
Upward Event
Company Party
Fair, Festival, or Carnival
Birthday Party
School
Daycare
Faith-Based Event (church, etc)
Grand Opening
Storefront
Restaurant
Picnic
Mitzvah
Other
Type of Entertainer you want:
** Click to choose your Entertainer >>
UPWARD * JuggleBoy's Juggling Gospel Show!
Faith Based * JuggleBoy's Juggling Gospel Show
JuggleBoy * #1 Technical Juggling Show - High Energy!
JuggleBoy * Juggling Stiltwalker
JuggleBoy * Walk Around Juggler
Birthday Option 1 * Juggling Show + Balloon Art
Birthday Option 2 * Stiltwalking Juggler
Balloon Artist
Other
Option: 2nd Entertainer(s):
** Click to choose (optional) >>
Juggler
StiltWalker
Balloon Artist
Other (explain at bottom)
Type of Entertainment you want:
** Click to choose Entertainment Type >>
Stage Show only
Roving Entertainment
Stationary Entertainment
Combination Show & Roving/Stationary
Number of People at Your Event
** Click to choose # of People >>
0 - 9
10 - 20
21 - 30
31 - 100
101 - 200
201 - 400
401 - 600
601 - 800
801 - 1000
1001 - 1500
1501 - 3000
3001 - 5000
5001 - 7500
7501 - 10,000
10,001 - 20,000
Over 20,000
Number of People that will watch the Show (or be Entertained):
** Click to choose # of People >>
1 - 25
26-50
51-100
101 - 200
201 - 400
401 - 600
601 - 800
801 - 1000
1001 - 1500
1501-3000
3001-5000
5001-7500
7501-10,000
10,000-20,000
Over 20,000
Ages of People you want Entertained:
** Click to choose Ages >>
0-5 Years of Age
6-12 Years of Age
13-17 Years of Age
Adult
All Ages
Month of Event:
** Click to choose Month >>
January
February
March
April
May
June
July
August
September
October
November
December
Day of Event:
** Click to choose Day >>
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year of Event:
** Click to choose Year >>
2010
2011
2012
2013
other (write in comment box below)
Multiple Dates?:
Time of Event?:
Time you want Entertainer(s) to Perform?:
City, State of Event?:
Zip Code of Event?:
Your Budget to Pay the Entertainer:
Other Questions, Comments, Requests:
919-873-0123
E-Mail
Jerry@A1Fun.org
Based in Raleigh, NC * will travel to other areas
Good
Clean
Family Fun!!
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