02/28/2014
DJ/JD
DELTA CO. 81416
PHONE: (970) 765-6925
Contract Billing Form
This contract must be signed and returned with the required non-refundable retainer noted below. The contract and retainer must be received within thirty (30) Calendar days / / . DJ/JD accepts check, cash, money order or MasterCard/Visa only.
Contract and request to pay by credit card can be faxed directly for faster processing. Please call to confirm open fax line and confirm ALL transmission(s).
All event information must be completed or marked “N/A” if the section does not apply to your event. “N/C” is no charge DJ/JD will complete the pricing
Information based on information obtained during the initial inquiry call. Please review and verify pricing information prior to signing and returning the contract.
Any changes will require a new contract.
Event Information
Event Date: _______ Name(s): ________________________________________ Day Phone: _______________ Evening Phone ____________
Mailing Address: ____________________________________________________ City/State: ______________________________ Zip: ________
Email: ______________________________ Party Responsible for Payment (if different from signature): __________________________________
Billing Address: ________________________________________ City/State: ____________________ Zip: ________ Phone: _______________
Type of Event: ___Wedding ___ Corporate ___ Holiday ___ Other (specify) _________________________
The event contact is another person(s) permitted to make event decisions.
Event Location: ______________________________ Address: __________________________________________ Phone: ______________
Event Contact(s): ____________________________ # of Guests: _______ Age Range: _______ Guest Arrival Time: _______ a.m. p.m.
DJ requires 45-60 minutes for setup and must be done prior to guest arrival.
DJ Setup Time: _______ Music Start Time: _______ Music End Time: _______ (Overtime is $85/hour)
Pricing Information Offers ______
___ Full DJ Package $345.00 4 hour max./$85.00 per extra hr. _______
___ Mileage/ DJ Parking /Hotel (if applicable) _______
Total _______ less retainer of $ = Balance due _______ (Price quote honored until )
Signature (DJ/JD) ________________________________________ Date _______________
Client Signature ________________________________________________ Date _______________
The client authorizes DJ/JD to charge the referenced credit card for the specified amount only.
Card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date: ____/____ Amount: ________
CVS (last three digit number on the signature side of card required for processing)
For Office Use - Retainer
Amt. Rcvd. __________
Check # _____________
Initial _____ Date ______
Remaining balance is due day of & prior to event’s start time (overtime not included). A $20 fee, per attempt, applies to all NSF payments, including credit card payments.
Initial retainer of $200 is non-refundable. Schools and corporations are exempt from retainer payment.
This contract limits liability, when unanticipated causes result in default of this contract. The liability of the client and DJ/JD shall be limited to monies paid. DJ/JD accepts no liability for damages or injury howsoever caused.
Overtime in excess of contracted time is payable at $85.00/hour and must be paid prior to the start of that time.
