Please complete the following questionnarie if you are interested in obtaining information on the Stardust Band. Please fill out form completely as all information is important.
Name:
Street:
City:
State:   Zip: 
Phone Number:  (Home or work - we need one)
Phone Number is:  Home  Work
Email:
Date of Engagement:
Name of Venue:  (Please tell us the venue, if known)
Venue Location:  (i.e town, city, region)
Approx. Time:
Type of Function
 Wedding
 Corporate
 Other (Explain )
Are you interested in pre-function music for ceremony and/or cocktails?
 Yes
 No
What is your approximate budget for a band?
 Under $4500  $4500-5500  $5500-6500  $6500 +
How did you find us? (Thanks for answering this question. It's most helpful to us)
 Referral
 Web Search
 Magazine
 Band Showcase
 Other (Explain )
Comments/Additional Information (Please tell us anything else you think we should know)