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On Line Information Request Form.
*Indicates Required Field
Please share as much information with us as possible so we can most accurately send you the information you need.

THE FOLLOWING 5 FIELDS ARE REQUIRED
Name*
Email*
Company or School
State*
Type of Event*
Please include as much of the following as you feel comfortable with leaving. Please know that we cannot send Demo DVD's or promotional kits through the mail without a phone number. Thanks for your understanding.
Phone
Secondary Phone
Address1
Address2
City
Zip
Country
Fax
Date of Event
Time of event
Event Location
How did you hear of us?
Number of Guests
Please let us know exactly what we can do for you so we can best give
you the information that you need.

If your show is an overnight lock-in, please include the day the event starts and the day the event ends. (example: June 3/June 4, 2009) if the show is at 3 in the morning on the 4th of June. This helps to avoid confusion for these middle of the night/early morning events.
 

 
       
 

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All pages copyright 2006 - All Rights Reserved
C.J. Johnson - Comedy Hypnotist
2555 County Road 281, Leander, TX 78641
800-462-4424, Ext. 2 - Send CJ e-mail