B.E. Media and Designs, LLC  Media Services Form/Agreement
Please fill this form out to begin your contract for B.E. Media and Designs, LLC.  Fine and Performing Arts Services.  Contract will not go into effect until you have been contacted about availability and you have paid your deposit.          
Sign in to Google to save your progress. Learn more
Email *
Date  of Event *
MM/DD/YYYY and Time (place in Eastern Standard Time only)
MM
/
DD
/
YYYY
Point of Contact Name *
Email Address *
Point of Contact Phone Number *
Address of Location *
If Representing a Company, Enter Name here:
 DJ and Media Services *
Required
DJ - Add-on Services 
Equipment Rental Services (Does Not Include DJ Services) 
Requested Time of Setup
Please enter the earliest time you would like your Dj/Photographer/ Media Specialist to be available to setup for event. (This time is included in quote).
Requested Start Time
Please enter the earliest time you would like your Dj/Photographer/ Media Specialist to be available for the start of the event. (This time is included in quote).
Requested Ending Time
Please enter the ending time you would like your Dj/Photographer/ Media Specialist to end the event. (This time is included in quote).
Amount of People at Event (Dj requests only)
This information allows the dj to provide the accurate sound system required to cater to space and size of event.
Clear selection
How did you hear about B.E. Media and Designs, LLC
A non-refundable reservation fee of $125  is required to secure the services for your request prior to event. This amount shall be applied toward the Performance or Consultation Fee.  Please use any of the following to send payment. *
Required
Any Additional Information or Coupon Code?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms