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Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Nature of Event *

Adult Party

Children's Party

Baby Shower

Bridal Shower

Wedding Ceremony

Wedding Reception

Other

Proposed Event Date *

MM

DD

YYYY

Event Timeframe *

Day (Ending before 6:00pm)

Evening (Beginning after 6:00pm)

Venue of Choice *

340 Bloom (Verona)

EEV (West Orange)

Estimated Guest Count *

50 or Less

100 or Less