Email address:

Street address:

City, State, & Zip:

Phone Number:

Date of Event:

Performance Start Time:

Performance End Time:

Type of Event or Lesson:

Wedding Ceremony
Wedding Reception
Background Music
Holiday Party
Funeral/Memorial Service
Harp Lessons

Event Location (Venue, City, State):

Instruments Requested:

Harp Solo
Harp & Violin duet
Harp & Flute duet
Harp, Violin & Cello trio
Harp & Mandolin duet
Harp Duet
Harp & Vocalist
Other (please specify)

Ceremony will be:

Reception/Party will be:

Ceremony & Reception will be:

How did you hear about me?:

Message & Questions:

Los Angeles Harpist.