Event Planning Request

Date of Event:

Type of Event:

How did you hear about
George Gee:

Location / Venue Name:

City:

State / Province:

How many guests will be in attendence at your event?

Perferred styles of music:
(Select All That Apply)

Big Band
Swing
Jazz
Classic Rock
Motown / R&B
Disco

Latin
Ballroom
Broadway
Ethnic
Other

Contact Name:

Mailing Address:

Daytime Phone Number:

Evening Phone Number:

Cell Phone Number:

E-Mail Address:

Best Way/Time to Contact:

Comments / Questions: