®

"BARTENDING SERVICE.COM®"

Customer Inquiry Form

NAME	FIRST LAST COMPANY
ADDRESS	StreetApt#
CITY,STATE,ZIP	City State Zip + 4 -
Telephone	Daytime Tel# Area Code - - Evening # Area Code - -
Email address	@
Event: MM/DD/YY TIME	Date of planned event// Time of Event :
Event Type	Company Wedding Bar Mitzvah Private HomeParty Location:
# of Guests	Total Guests # of Adults # of under drinking age
# of Bartenders Needed	1 2 3 4 5 More than 5
Bar supplies	I will supply all items necessary Yes No
	I will need a quotation for bar supplies Yes No
	Have a representative contact me to discuss this issue Yes No
Literature	I am gathering information please send me your brochure Yes No
Your email:	Email address:

Please let us know how you found us or if you were referred to us, who referred us to you. Thanks.

Your Own Comments:
	<--- Click the "Submit" button send us your information
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Form: Rev.011700-1.3