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P.O.Box 6 Moriches, NY 11955 Office: (631) 399-6942 Fax: 631-982-5200 ____________________________

Please take a moment to fill out the form below. Don't forget to check off for a free brochure! Thank you. *Required Fields Name:* Address: Phone:* City: Email:* State: Event Date: Zip: Your event: Wedding Sweet 16 Bar/Bat Mitzvah Corporate Event School Event Installation Dinner Standard Events Block Parties Fund Raisers Other If Other: Are you interested in any packages? Wedding Packages Bar/Bat Mitzvah Installation/Corporate Packages Video Production Packages Sweet 16 Packages Prom Packages Block Parties Basic Packages Yes, I want a free brochure! Yes, I would like to set an appointment!

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