As we begin to work together, please fill out this questionnaire to give us a preliminary idea of your event needs. If you have any questions, please call 816.753.7055 or 800.883.GAME (4263) and ask for Jan Graves. Thank you for considering John P. Schuster.

First Name

Last Name

Title

Phone

Email

Organization

Address

City, State, Zip

Fax

Best time of day to call is:

Estimated Event Date:

Purpose of the speaker:

*

Comments:

*