A.J. "Keepin It Real" Johnson

Building Communities and Saving Lives

HOME PAGESILENT AUCTION for BRASSPROJECT P.L.A.N.T.PAY IT FORWARD LAPROGRAMSOUR SPEAKERPROGRAM REGISTRATION FORMWHERE'S A.J.BRASS SOUNDS/SERVICESBRASS MASS MEDIADONATIONSPLACES WE HAVE BEENBULLY BANDITSMANAGING TIMEB.A.R.T.MATRIMONY AND ME

BRASS Sounds & Services

(Schedule Your Event Below)

FirstPageofBrochure2.JPG

SecondPageofBrochure2.JPG

Please fill out the following Activity Request Form for your upcoming event:

The fields marked with (*) are required fields.

*
Name:
 * required

*
Address:
 * required

*
City:
 * required

*
State:

*
Zip Code:
 * required
 
Country:

*
Contact Person:
 * required

*
Title of Contact:
 * required

*
Day Phone:
 * required

*
Night Phone:
 * required

*
Email Address:
 * required

*
Address of Location for Activity:

*
Title of Event:

*
Describe Program Focus, Purpose and/or Nature (What would you like to see happen at your program?):

*
Please check all items that you would like to have at your event:
Sound System $100.00
Technician $50.00 Per Hour
Mic with Stand $25.00
Speaker with Stand $50.00
CD/Cassette Player $25.00
Bullhorn $25.00
LCD Projector/Infocus Machine $50.00
Projector Screen $25.00
Overhead Projector $25.00
VCR $25.00
Laptop Computer $50.00
Table $25.00
Small TV/VCR $25.00
Large TV/VCR/DVD $50.00
Tent $25.00
Digital Camera $25.00
Video Camera $50.00
Camera Stand $25.00
DVD Player $25.00
Generator $75.00

*
Type of Audience:

*
Date of Event:
 * required

*
Time the entire event Begins and Ends (Ex:10:00 am - 1:00 pm):
 
Comments