Entertainment Inquiry Form

Contact Information
Name of Business
Primary Business
if not listed please use this box
Contact's Name
Phone Number ext.
Fax Number
Email Address
Web Site Address
Mailing Address
Zip Code + 4

About Your Entertainment Needs
Please describe the entertainment you are seeking:

How many people are you expecting to attend?

What types of music or performers are you considering? (Check all that apply, if you don't know don't worry, planning is one of the main things we can help you with):

Big Band/Swing Blues Classic Rock (50's & 60's)
Country Jazz Reggae
Retro Top 40 Rhythm & Blues
Tribute Band Other Music:
Stand Up Comics Magic Walk-around entertainers
Caricature Artists Emcees Pantomime Artists

Are you looking to book a big name national act? yes no

If Yes, who?

Do you have a desired location for your event? yes no

If Yes, please describe. If No, please give us your thoughts on locations:

What is your estimated budget for this event?
(If you know)

Which of our technical services do you think you will be needing? (Check all that apply):

Sound Systems Power Distribution
Lighting Systems Stage Rigging
Audio-Visual Satellite Communications
Photography Custom Staging
Recording Services Set Design
Special Effects Lasers
Fireworks Other :

Is this event reoccuring (monthly, annual)? yes no

Has this event been done before? yes no

What are your thoughts concerning this event?

How did you find out about us?

If not on this list please specify

Doug Miller & Associates Impression Productions 3918 North Stevens StreetTacoma, WA 98407-4937
Phone: (253) 761-9433Fax: (253) 759-2941Email: