Request Information

The purpose of this form is for the planning party to be able to submit their information to the CIDJA. After submitting the information you will receive information from all Disc Jockey's that are potentially available.  Thank you for your time.

Please provide the following contact information:

First Name  
Last Name  
Address  
Address
City  
State  
Zip Code  
Phone  
E-mail
Event Date  
How would you like to be contacted?  
Location of  the event/venue  
Additional Questions or Comments

What type of event are you planning?

Event Type  
This Site Was Created By:
The Central Illinois Disc Jockey Association [CIDJA Bloomington Normal Illinois Chapter]
All Rights Reserved. Copyright 2003
Revised: 05/09/07