88.1 The 'Burg

Name *

Event Name *

Email *

Telephone

Event Location *

Event Date *

*IF THE DATE OF YOUR EVENT IS WITHIN TWO WEEKS OF THE DATE OF SUBMISSION OF THIS FORM, WE MAY NOT BE ABLE TO ACCOMMODATE YOUR REQUEST. If we do accept an event within the two week window, you may be subject to a late fee of 90% of your original event fee. Please check this box if you understand and accept the date restrictions. *

Event Start Time *

Event End Time *

Please describe the exact location you would like the 'Burg set up, whether or not you will be able to provide an electrical outlet for our use. *

Where will The 'Burg be setting up at your location?

Will you need a custom playlist? *

If you don't need a custom playlist, press no and ignore the next question. We will play our 'Burg playlists. If you have a custom playlist, press yes and continue to the next question.

Yes

What's on your playlist? *

If you have a specific playlist prepared, please include it below. Otherwise please detail any specific songs or genre you would like us to play. ****Important Note: If you provide us with requested songs or genres within two weeks of your event, we may not be able to accommodate you.****

Event Request