First Name: Last Name:
Company: Address: Apt#
Zipcode: City: State: Country:
If the event's address is different from above, please fill out the event's address below
Address: Apt#
Contact Number: E-mail:
Type of Event: ........................ Corporate Event Adult Birthday Party TV Print Interview Film Commercial Fair Private Party Basketball Tornament Laker Party Birthday Party Playoff Promo Event Other:
Compacity: ................ Under 30 30 - 70 70 - 150 150 - 350 350+ Hours Needed: .................. 2 3 4 5 6 7 or more
Date of Event: Time of Event: AM PM
How did you hear about the Pau Gasol Impersonator? ........................ Friend TV Newspaper Party Store Social Network Michael Fanter Sports Bar Internet Playoff Promo Other:
Comments or Questions:
Special Request: