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Juanita's Occasions, Event and Wedding Consultant

"Event Planning for the Celebration of Life"
 Specializing in Southern Oregon Destination and Theme Weddings
One of a Kind Celebrations to Cherish!
Consultations By Appointment Only.
541-776-2442

juanita@juanitasoccasions.com

Information & Request Form

    You can use this form to set up a consultation appointment or request additional information about our services.

    If you would like more information about our services, have special needs, or have questions about something not addressed in our web pages. Please fill out all pertinent information and send this form to us using the "Submit Button" at the bottom of this page.

    If you wish to make a consultation appointment, "On Line", be sure to follow directions carefully. Fill out all information requested on form, and use "Submit Button" at bottom to send form information to us.

    No information you submit on this page is used for any purpose other than assisting us in determining your needs.

    Thank you! Juanita Williams, Wedding Consultant.

General Information Requested

Your Name:
Mailing Address:
City:
State or Province:   Zip   
E-mail Address:
Required For Server To Process Form!
Daytime Phone:
Area Code           Number           Extension
Evening Phone:
Area Code           Number          Extension
Wedding or Event Date:
Rehersal or Set Up Date:
Total Days Of Event
How did you find us?
If there was an asterisk (*) next to your selection. Please elaborate here. Thank You!
The best way to contact me is by:
The best time to telephone is:
Additional Wedding Information
Brides Name:
Grooms Name:
Ceremony Location:
Reception Location:
Total Guests Expected:
Approximate
Budget:
Additional Information For Other Events
Contact Person
Company Name
If Applicable
Type Of Event
Event Location:
Other Location:
Total Guests Expected:
Approximate
Budget:
Items Of Interest
For Weddings Or Other Events
Please Select All That Apply!
Wedding Coordinator Wedding Gown Bridesmaid Dresses Tuxedos
Custom Jeweler Florist Fresh Florist Silk Bridal Shops
Caterers Elegant Accessories Invitations Wedding Favors
Headpieces & Veils Custom Chocolates Cake Tops Party Rentals Tables/Chairs
Bakery Lingerie Ice Sculptures Make-Up Artist
Hair Stylist Dove Releases Travel / Honeymoon Transportation
Butterfly Releases Photographer Videography Unique Party Favors
Music Disk Jockey Harpist Classical Performers
String Quartet Live Band Reception Sites Home & Garden
County Club Bed & Breakfasts Churches Synagogues Other Locations
Additional Comments Or Questions:

    Use this area for comments, additional information, special requests, or any questions you may have that weren't answered in our web pages. Thank You!

Did you remember to include your e-mail address where indicated above?
          
This Form Will Not Get To Us, If You Did Not Do So!
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Web Site Created: 1 April 1998. Last Update This Page: 30 January 2008 @ 0824 hrs. Pacific Time.
Web Site Content © Juanita's Occasions Wedding & Events Consultant / Coordinator 1998-2008
Web Site Layout, Design, & Graphics ©1998-2008 Web Venues Internet Services™  &   Alan Miller
Permanent Limited Use License Granted to Juanita's Occasions by, Web Venues Internet Services™ 1998.