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First Name: Last Name: Organization (if applicable): Event:
E-Mail Address: Phone: - - This is my: Home Work Cell Other
Requested Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Time: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM
Venue (if applicable): Street Address: City: State: MD PA VA DC Zip Code:
Audience Age Range: Audience Size:
Party Magic (For smaller groups of less than 50 guests)
Stage Magic (For groups of more than 50)
Teach-A-Trick (Your guests will be taught a magic trick)
Strolling Magic (Peter mingles with your guests)
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