DJ Barrett
Information Request Form
Date Of Event
Month
January (1)
February (2)
March (3)
April (4)
May (5)
June (6)
July (7)
August (8)
September (9)
October (10)
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December (12)
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Year
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2050
First Name
Last Name
Organization/Fiance
Email Address
Mailing Address
Address Line 2
City *
State *
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Zipcode *
Telephone
Start Time (if you have it)
Noon
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Midnight
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
End Time (if you have it)
Noon
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Midnight
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
Event Location (venue)
Please Select A Venue...
American Ukrainian Citizens Club - Berwick, PA
Appletree Terrace - Dallas, PA
Bailey Park Community Clubhouse - Benton, PA
Barn at Boones Damn - Bloomsburg, PA
Barn at Greenwood - Millville, PA
Barn at JJT Farms - Brackney, PA
Blue Mountain Estates - Lewistown, PA
Brady Banquet Hall - Ranshaw, PA
Brass Buckle Resturant - Conyngham, PA
Breslau Fire Hall - Breslau, PA
Buckhorn Fire Hall - Bloomsburg, PA
Bush House Estate - Muncy, PA
Butler Valley Fire Hall - Drums, PA
Carmelos Roman Delight - Orwigsburg, PA
Carmen's Country Inn & Gardens - Drums, PA
Catalpa Grove - Barnesville,
Chalfonte - Cape May, NJ
Eagle Hose Fire Company - Berwick, PA
Eagle Rock Resort - Hazle Township, PA
East Mountain Inn - Wilkes-Barre, PA
Edgewood in the pines - Drums, PA
Fegley’s brewworks - Allentown, PA
Fegley's Allentown Brew Works - Allentown, PA
Forge Brew Pub & Eatery - Berwick, PA
Fountain Springs Country Inn - Ashland, PA
Friedman Farms - Dalls, PA
Frosty Valley & Barn - Danville, PA
Glen Summit Clubhouse - Mountain Top, PA
Green Lane Firehouse - Green Lane, PA
Guiseppe Garibaldi Mutual Beneficial Society of West Berwick - Berwick, PA
Hall at Castle Inn - Delaware Water Gap, PA
Happy Pizza - Plymouth, PA
Hunlock Fire hall - Hunlock Creek, PA
Intoxicology Department - Berwick, PA
Irem Temple - Dallas, PA
Jingle Hall - Berwick, PA
Kemfort's Cottage - Pottsville, PA
Laporte Fire hall - Millville, PA
Laurel Lodge - Mifflinburg, PA
Ledges Hotel - Hawley, PA
Lodge at Ravens Creek - Benton, PA
Mountain Valley Golf Course - Barnesville, PA
Mountain View Barn - Orangeville, PA
Nescopeck Twp Volunteer Fire Company - Nescopeck, PA
New Leaf Farm - Waymart, PA
Pine Barn Inn - Danville, PA
Ponduce Farms - Elysburg, PA
Premier Catering and Events at Genetti Ballrooms - Hazle Township, PA
Pump House - Bloomsburg, PA
Q Bar & Grill - Hazleton, PA
Quittie woods - Lebanon, PA
R & D Memories - Hanover, PA
R Bar - Nanticoke, PA
Ramsey Golf & Country Club - Ramsey, NJ
Richland Township Fire & Rescue at 64 - Quakertown, PA
Rt 61 Events - Sunbury, PA
Rusty Rail Brewing Company - Mifflinburg, PA
Same As Client Address - Berwick, PA
Same As Client Address - Mountain Top, PA
Sand Springs Country Club - Drums, PA
Schuylkill County Fair Grounds - Schuylkill, PA
Schuylkill county fairgrounds - Summit Station, PA
Settlers Inn - Hawley, PA
Shoe Factory - Milton, PA
Springfield Banquet Hall & Catering - Coal Township, PA
St. Marks Lutheran Church - Conshohocken, PA
Stone Barn Farm - Selinsgrove, PA
Strock Enterprises Inc. - Mechanicsburg, PA
Taylor's Bar & Grill - Unityville, PA
Watson Inn - Watsontown, PA
West Side Grove - Berwick, PA
If your event location is not listed above please fill in the following...
Event Location (Venue)
Event Location (City)
Event Location (State)
Select...
Alabama
Alberta
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
NW Territories/NVT
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Type Of Event
Please select...
Banquet
Bar Mitzvah
Bat Mitzvah
Birthday Party
Class Reunion
Community Celebration
Company Holiday Party
Corporate Event
Family Reunion
Fundraiser
Graduation Celebration
Night Club / Bar Dance
Photo Booth
Picnic
Private Party
Quinceanera
PA / Sound Reinforcement
School Dance
Singles Dance
Sweet 16
Wedding Anniversary
Wedding
Other / Not Listed
Additional Questions Or Event Details
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