Build a Party * Denotes a required field *First Name: *Last Name: Company Name:  (corporate & organization clients) *Email: Phone: Fax: Street Address: City: State: Zip: Country: What event are you celebrating?  Bar Mitzvah  Bat Mitzvah  Wedding  Other event: What is the date of your event? Please type: What is the venue you anticipate utilizing for your event? Please type: What time is your event?  Morning  Afternoon  Evening What kind of music - check all that apply  Background  Dance, Hora and Jewish  Dance Jazz and Swing  Classic Rock / Pop Standards  Other  Concert: 1 hour  Concert: 2 hours Games and Contests with young people Planning a Wedding? - Check all that apply  Kabbalat Panim (veiling of the bride)  Ceremony  Cocktails  Dinner Dance How did you hear about The Maxwell Street Klezmer Band?  I saw the band perform  Online Advertisement/Web Site  Personal Referral (Word of Mouth)  Professional Referral  Direct Mail  Flyer/Poster/Magnet  Other  Print Advertisement     Chicago Jewish News     JUF News     Pioneer Press     Other  Would you like details about future Maxwell Street Klezmer Band Events / Specials?  Please add me to the POSTAL Mailing List  Please add me to the E-MAIL list Comments:

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