Ultimate Jams DJ ServiceInformation Request Form Date Of Your Wedding MonthJanuary (1)February (2)March (3)April (4)May (5)June (6)July (7)August (8)September (9)October (10)November (11)December (12) Day12345678910111213141516171819202122232425262728293031 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 First Name Last Name Email Address Mailing Address Address Line 2 City * State * Select…AlabamaAlbertaAlaskaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNW Territories/NVTNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Zipcode * Telephone Start Time Noon12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmMidnight12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am End Time Noon12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmMidnight12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am Event Location (venue) Please Select A Venue…Above the Valley Special Event Center – Centre Hall, PAAltoona Grand Hotel – Altoona, PAAnnsfield Estate – Mifflintown, PAB & D Acres – Tyrone, PABavarian Hall – Altoona, PABeech Creek Social Hall – Beech Creek, PABell Mountain Estates – Lewistown, PABellefonte Elks Lodge – Bellefonte, PABellefonte Historical Railroad Society at Tallyrand Park – Bellefonte, PABest Western Plus University Park Inn & Suites – State College, PABirch Hill Events – Burnham, PABlair County Convention Center – Altoona, PABlairmont Country Club – Hollidaysburg, PABloomsburg Theatre Ensemble – Bloomsburg, PABoomerang’s Bar & Grille – Millmont, PABooneville Campground – Loganton, PABree-Z-Acres LLC – Warriors Mark, PAC. Barton McCann School of Art – Petersburg, PACamp Anderson – Tyrone, PACarnegie Inn & Spa Restaurant – State College, PACentre Furnace Mansion Historic Site – State College, PACleafield Elks Lodge #540 – Clearfield, PAClearfield County Fairgrounds – Ag Building – Clearfield, PACourtyard & Residence Inn By Marriot – State College, PADays Inn Penn State – State College, PADenElaine Springs Farm – Tyrone, PADuCar Farm – Chambersburg, PAEarlystown Manor Bed and Breakfast – Centre Hall, PAEdgewater Inn & Riverside Grill – Alexandria, PAElk’s Lodge – Lock Haven, PAGearhartville Sportsmen’s Club – Philipsburg, PAGeneral Potter Farm – Spring Mills, PAGenetti Hotel – Williamsport, PAGettysburg Train Station – Gettysburg, PAGillbrook Farms – Warriors Mark, PAGodpseed Events & Lodging – Port Matilda, PAGreenlands Lodge of Spruce Creek – Alexandria, PAHappy Valley Vineyard & Winery – State College, PAHarmony Forge Inn – Bellefonte, PAHaywood’s On The Green – Mill Hall, PAHeritage Restored Farm Weddings And Events – Newburg, PAHerman & Luthers – Montoursville, PAHilton Garden Inn – State College, PAHomer’s Gap Civic Association – Altoona, PAHoward Dam – Howard, PAHuntingdon Moose Family Center #223 – Huntingdon, PAHyatt Place State College – State College, PAJ.K. Yearick Center – Howard, PAJohnsonburg Fire Hall – Johnsonburg, PAJuniata College – Huntingdon, PAJuniata Valley Winery & Wilson House Bed & Breakfast – Mifflin, PAKremser’s Landing – Montoursville, PAKrislund Camp & Conference Center – Madisonburg, PALa Ferme Rouge – Patton, PALake Raystown Resort Lodge – Entriken, PALakeview Lodge at Treasure Lake – Dubois, PALambert Hall – Bellefonte, PALaurel Lodge Events – Mifflinburg, PALaurel Mountain Winery – Falls Creek, PALaurel Rock Farm – Mifflintown, PALucacelli Equestrian – Boalsburg, PAMarrara’s Mountain Lodge – Port Matilda, PAMarthas United Methodist Church – Port Matilda, PAMcConnellstown Fire Station – Huntingdon, PAMilesburg Community Center – Milesburg, PAMillbrook Marsh Nature Center – State College, PAMillstone Farm & Inn – Mill Hall, PAMorris Twp Fire Company Recreation Center – Morrisdale, PAMountain View Country Club – Boalsburg, PANature Inn At Bald Eagle – Howard, PANittany Lion Inn – State College, PANittany Valley Country Club – Mingoville, PANittany Valley Event Center – Pleasant Gap, PANittany Valley Fire Company – Lamer, PAOne Barn Farm – Mifflinburg, PAPenn Stater Hotel & Conference Center – State College, PAPenn’s Cave – Spring Mills, PAPleasent Gap American Legion – Pleasent Gap, PAPleasent Valley Golf Course – Stewartstown, PAQuality Inn Hotel – Milesburg – Milesburg, PAQueen Beaver Run Rod & Gun Club – Queen, PARamada State College Hotel & Conference Center – State College, PARay Verno Estate – Milroy, PAReedsville Fire Hall – Reedsville, PARobbin’s Paradise Ranch – Julian, PARolling Rails Lodge – Port Matilda, PARooted Farmstead – Bellefonte, PARusty Rail Brewing Company – Mifflinburg, PASeven Mountains Scout Camp – Spring Mills, PASidney Friedman Park – State College, PASons & Daughters Of Italy – Lock Haven, PASpringfield Estates – Williamsburg, PASt Marys Loyal Order of Moose – St. Mary’s, PAState College Legion – State College, PAStoney Brook Farm – Julian, PASusquehanna Motorcycle Club – Milton, PATalleyrand Park – Bellefonte, PAThe Big Barn – Hollidaysburg, PAThe Casino At Lakemont Park – Altoona, PAThe Gamble Mill – Bellefonte, PAThe Graduate (Formerly The Atherton Hotel) – State College, PAThe Lewistown Rec Center – Lewistown, PAThe Links at Hemlock Creek – Bloomsburg, PAThe Lodge At Tussey Mountain – Boalsburg, PAThe Match Factory – Bellefonte, PAThe Shop In Zion – Bellefonte, PATiadaghton Farm Wedding Venue – Jersey Shore, PAToftrees Golf Resort & Conference Center – State College, PAUnion Grove LLC – Broad Top City, PAUS Hotel Tavern – Hollidaysburg, PAWilliamsport Scottish Rite – Williamsport, PAWillow Stone Farm – Mifflinburg, PA If your event location is not listed above please fill in the following… Event Location (Venue) Event Location (City) Event Location (State) Select…AlabamaAlbertaAlaskaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNW Territories/NVTNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon How did you hear about us? Type Of Event* Please select…Wedding Ceremony Wedding Ceremony & Reception Wedding Reception What Package(s) Would Like More Information On* Please select…Wedding Reception Package Wedding Ceremony/Reception Package Would You Like To Add Any Of The Following The Bubble MachineGobo/Monogram ProjectionThe Photo WallUplightingThe Wedding Cloud Budget For DJ* $750 – $1000$1000 – $1300$1300 – $1600$1600+Other May We Follow You On Social Media* Please select…Yes No Only If We Decide To Book Facebook (Optional) Instagram (Optional) Twitter (Optional) Alternate Email Address*