Name

Phone number

Email address

Area or region of your event

Date of event

Type of event

Main effect wanted from lighting Main effect wanted from lightingCreate an Ambient AtmosphereEnergy on Dance FloorSafety (for dark or outside areas)Support a Theme or Holiday

Rough Budget or amount you expect to invest Rough Budget or amount you expect to invest $250 - $500 $500 - $750 $750 - $1000 $1000 - $1250 $1250 - $1500 $1500 - $1750 $1750 and up