First Name:

Last Name (where applicable):

E-Mail:(without an e-mail we can not respond to you!)

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If you want us to play your next party, show, or

event, fill out the following request form:

Party/Event/Show info:

Time&Place

Address:

Town/City:

State:

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Also enter your personal information here:

Address:

Town/City:

State:

Zip Code:

Phone Number: -

How much beer do we need to bring??:

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Type any message you want to phoenix down here:

Type your message here.

*Your e-mail is protected!! We will NEVER share your personal information ever!*