Request for Information
Party Reservation Form

Special Note:

Please fill out this form only if you have first spoken to our office and either Beverly/Kevin, or Eve if our office has asked you to send the below information.

IF YOU DO NOT WISH TO FILL OUT THE FORM, YOU CAN DOWNLOAD THE PDF, FILL IT IN AND EMAIL IT TO: clownmagicnyc@aol.com

DO NOT FILL OUT IF YOU HAVE NOT SPOKEN TO US BEFORE ABOUT THIS EVENT

Personal Info:

Name Home Address Apt. # City, State, Zip Home Phone Number Work Phone Number Cell Phone Number Fax Number (For Your Receipt/Invoice) Email

Party Location Info:

Address of Party Apt. # Name of Restaurant Other (Please Fill In) Floor Cross Streets City, State, Zip Telephone # of Party Address

Type of Event/Entertainment Requested:

Enter Type of Event/Entertainment You Are Requesting (Example: Clown, Magician, Pony, Character's Name) Event Date Amount You Were Quoted by Rep (Plus Tax) START TIME (Time You Want The Performer To Start) END TIME (Time You Want The Performer To End) Guest of Honor's Name AGE Amount of Kids AGE RANGES

Payment:

Credit Card Number (Please enter as xxxx-xxxx-xxxx-xxxx) Expiration Date Name of Card Holder CVV # on back of card (3 or 4 digit # at end of signature field on back of card) Special Instructions

THIS YEARS FUND DRIVE:

Help put a smile on a sick child's face

DOC MAGIC TRAVELING HOSPITAL:

Visits from specially trained clowns to hospitalized kids as a cheer up." Laughter is the best medicine!"

PLEASE CONSIDER A DONATION - Enter amount

Refund/Cancellation Policy:

Deposit: A 50% or less deposit is required for all private parties.

All deposits non-refundable.

Exception: "Act of Nature/Man" Full refund.

If this is a "Corporate" Event - Some clients such as Libraries, Museums, Camps, Known Fortune 500 Companies, etc.. are eligible for billing system.

Security Question: 3 + 2 = ?

Request for InformationParty Reservation Form