Request Information Form Tri State Games LLC Corndog Sound & Light Ready set Pose Information Request Form Date Of Event MonthJanuary (1)February (2)March (3)April (4)May (5)June (6)July (7)August (8)September (9)October (10)November (11)December (12)Day12345678910111213141516171819202122232425262728293031Year2017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 First Name Last Name Organization Email Address Mailing Address* Address Line 2 City* State* select state or provinceAlabamaAlbertaAlaskaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNW Territories/NVTNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Zipcode* Telephone or Cell Phone Best Time To Reach You Guest Count Setup 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 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 Please Select A Venue…Brookport Elementary – Brookport, ILChurch – Bardwell, KYCity of Paducah – Paducah, KYHome – Calvert City, KYHome – West Paducah, KYHome – Wickliffe, KYHouse – Benton, KYHouse – Kuttawa, KYHouse – Wingo, KYKy dam convention center – Gilbertsville, KYLivingston Central High School – Smithland, KYNot Entered – Paris, Tn, TNUnited States – Benton, KYUnited States – Kevil, KYUnited States – Lovelaceville, KYUnited States – Murray, KY if your event location is not listed above please fill in the following… Event Location (Venue) Event Location (City) Event Location (State) select state or provinceAlabamaAlbertaAlaskaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNW Territories/NVTNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Type Of Event please select…BanquetBar MitzvahBirthday PartyChairsClass ReunionCommunity CelebrationCompany Holiday PartyCorporate EventFamily ReunionFundraiserGraduation CelebrationInflatable GamesLightingMirror BoothNight Club / Bar DancePhoto BoothPicnicPrivate PartyPTO School EventPA / Sound ReinforcementSchool DanceSingles DanceSweet 16TablesTentUp LightingV B SVideo ScreenWedding AnniversaryWeddingOther / Not Listed Inflatables Games or DJ service Select a package…18ft Water SlideDj ServiceEntertainment PackageEvent with GamesMirror Photo BoothOur Inflatable GamesTent Tables and Chairs Additional Questions Or Event Details How did you hear about us? What Games are wanting DJ Service Back yard Party Company Party Photo Booth Mirror Booth Try this one for Mobile Phone Name Email Message Submit Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window)