Please give me the the Details on your Request
Fill out this form completely to give me information for the Show
If it does not apply or you are unsure put n/a
When Finished Click the submit button on the bottom
Personal Information on Victim or Event
I will try to use as much of this information as I can
Some Company Firewalls
do not allow this to be transmitted.
If this happens just print the page
and fax it to me at
(562) 299 5598
or email it to me.
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Serving Southern California
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Your Name
Your Phone#s
Your Email
Which Character?
What type of show do you want?
What is the Occasion?
Date of Event
Time Of Event
Rating G, PG PG-13 or R
Victims Full Name
Nicknames
Location (Biz or Home)
Location City and Zip
Contact Person
Location Address
Contact Phone #
Likes or Dislikes
Crazy Quirks
Crazy Things they
Have Done
What Kind Of
Work Do they Do?
Anything Else
I should Know
Message on the Card
(Include Who is Sending it)
How Did you Find Me
LA (310)667-6060 / OC (714)453-9971 / Long Beach (562)799-1206