Event Description/Quote Request Form

Company/Department:
Contact Name: *
Address: *
Contact E-mail address: *
Daytime Contact Phone (area code & ext. if work number): *
Best time to call you at the above number: *
Nighttime Contact Phone (area code & ext. if work number):
Best time to call you at the above number:
Location/Event Phone (area code): *
Alternate Contact/Mobile Phone (area code):
What kind of event are you having? (birthday party, corporate event, festival, grand opening, etc.) *
Birthday party: How old will the guest(s) of honor be?
Birthday party: Name/relationship to guest(s) of honor?
What day will the event be taking place? *
What time will the event take place? *
Yes, I've reviewed the current schedule (http://www.mollyanne.com/subpage.html) to check to see if my date/time is available. *	Yes No
Do you have a raindate planned? If so, what date? What time?
Corporate event/festival: will the event be taking place over several days? If so, what dates? What times?
Where will it be taking place (North Raleigh, Cary, Durham, Garner, Clayton, Morrisville, etc.)? Yes, the Clown House goes everywhere! What city? *
Brief location description is appreciated (home, park, restaurant, etc.) Outdoors? Indoors? Shaded porch? Picnic shelter? Other? *
Do you have an alternate location for the event? If so, where?
How many children are you anticipating to be there? Less than 10? 11 to 20? 21 to 30? 31 to 40? More than 40? *
Unlimited	Yes No
Unknown - if you're hosting a birthday party, you will need to give an estimated head-count. Sorry, MACH does not give out random quotes without adequate information.	Yes No
What is the age range of the guests that will be entertained? *
Which character are you interested in? Molly Anne? *	Yes No
Peppermint	Yes No
Santa Molly	Yes No
Mrs. Claus	Yes No
Other (no copyrighted characters - please see FAQ)
Which services are you interested in having for your event? Magic, face painting, balloon animals & MACH giveaways for everyone? *	Yes No
Magic, face painting & MACH giveaways for everyone? *	Yes No
Magic, balloon animals & MACH giveaways for everyone? *	Yes No
Depending on the age of the audience, would you like to substitute out Songs for 3 & Unders, parachute play or story time for the magic act? If so, which one?
Face painting, balloon animals & MACH giveaways for everyone	Yes No
Face painting & MACH giveaways for everyone	Yes No
Balloon animals & MACH giveaways for everyone	Yes No
Corporate event/festival: Specialized games (Hula hoops, relays, bingo, limbo, etc. - you supply the prizes)	Yes No
Corporate event/festival: Hair painting	Yes No
Corporate event/festival: if shelter is not provided, will MACH need to bring the kiosk or the 10x10 tent?
Corporate event/festival: is electricity available either directly or via extension cords?	Yes No
Special notes/questions for the event:
How did you hear about Molly Anne's Clown House? Web search? MACH giveaway? Referral? Yellow pages? Other? *
1) Yes, I have reviewed the FAQ page. 2) I understand that completing this form is not a confirmation of services of any kind. 3) I understand that rates & times are subject to change depending on availability. (ed: pppsst..the answer to this is True!) *	True False
4) I can verify I am over the age of 18. 5) I am able to enter into contract with MACH. 6) I adore my privacy and hate spam & solicitors as much as everyone else THEREFORE... 7) I do not allow MACH nor any of its affiliates or parent companies to distribute ANY of my information to other organizations or persons unless approved of verbally or in writing by myself or my representative. (ed: coughcough True! cough) *	True False
All questions marked with a red asterisk ( * ) should be completed with accurate information. A valid name, daytime phone number & complete event information must be included for a proper quotation. Incomplete, falsified or inaccurate inquiries will be disregarded by the Clown House. Okay? *	Yes No