Name *

First Name

Last Name

Primary Contact Number *

(###)

###

####

Secondary Contact Number

(###)

###

####

Preferred Method of Contact

Phone

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Date of Event *

MM

DD

YYYY

Alternate Date

If your desired date is unavailable, is there an alternate date?

MM

DD

YYYY

Time of Event *

Hour

Minute

Second

AM PM

Private or Public Event *

Private - Event is only open to people with an invitation that are personally known to the sponsor.

Public - Event is open to the public, (anyone can attend) Will the event be advertised in any fashion?

Will Alcohol Be Served at Your Event *

If alcohol is being served, Central Parlour requires certified security services to be on premise. We can assist you with this requirement.

Yes

No

Event Caterer

Will you be bringing in a caterer?

Yes

No

Event Entertainment

Will you be bringing in any entertainment, D.J's etc.?

Yes

No

Event Florist

Will you be bringing in a florist?

Yes

No

Other Vendors

Will you be bringing in any other outside vendors?

Yes

No