going to the chapel

Reservation Request for
Wedding Musicians

To be completed after confirming my availability for your event.
Complete this form and make your deposit to retain me for wedding music services. Please fill out all fields, click on the submit button and an acknowledgment will be displayed with suggestions for planning your music program.

All information is kept confidential.

If you have any questions, please email me.
First Name:
Last Name:
Email:
Phone:
Ceremony Date:
Ceremony Time:
Rehearsal Date:
Rehearsal Time:
Event Location:
Option Number:
Deposit by Check or PayPal:
Special requests:
(rehearsal dinner, reception music, other musicians, etc.)

Original version by Percy Sledge