Atlantic Premier Entertainment
Information Request Form
Date Of Event
First Name
Last Name
Fiance's Full Name
Email Address
Mailing Address
Address Line 2
City *
State *
Zipcode *
Telephone
Best Time To Reach You
Guest Count
Start Time
End Time
Event Location (venue)

If your event location is not listed above please fill in the following...


Event Location (Venue)
Event Location (City)
Event Location (State)
Type Of Event
How did you hear about us?
Are you interested in booking our Photo Booth services?* 
What is the specified dress for your event?* 
Are you interested in securing Eric specifically for your event? (Additional fees apply)*