Full Name

Daytime Phone Number

Evening Phone Number

Email Address

Event Location

Event Address

Event Date (MM/DD/YY)

Purpose for the event:

Wedding   Parade  Funeral/Memorial

Birthday  Concert  Pub Tour  Other

If you indicated "Other" please provide information/description.

Is the event an annual  parade or concert?

Yes    No

If yes, please provide annual event name:

(i.e., Pearl River St Patrick's Day Parade)

Please indicate the number of band members required for your event:

Full Band

Pipers ~  How many?       

Drummers ~ How many?

Comments/Questions/Inquiry/Requests