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Request for Information
Please complete the following form and click Submit. We will contact you as soon as possible regarding your request.

First Name *
 Last Name *
Street Address
City
 State
 		Zip Code
Contact Phone
 E-mail Address *
How do you wish to be contacted?
Type of Event
Other
# of Guest
Date Of Event or Approximate Time of Year
Location of Event

* Required to submit this form






Corinne Snow ~ Owner ~ Event Coordinator
Phone: 661-393-8822 ~ E-mail: divine@arrival.net
2821 Ramel Lynn Road ~ Bakersfield, CA ~ 93308

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