Freddie Justice Comedy Hypnotist
Information Request Form
Date Of Event* 
Type Of Event* 
First Name* 
Last Name* 
Organization 
Email Address* 
Mailing Address* 
Mailing Address Line 2
City* 
State* 
Zipcode* 
Telephone* 
Entertainment Budget*
Guest Count
Event Location (venue)* 
Event Location (city)* 
Event Location (State)* 
Additional Questions Or Event Details&nbsp
How did you hear about us?*
* required fields
The Freddie Justice Comedy Hypnosis Show
a service of Reichert Productions, Inc.
P.O. Box 490118
Blaine, MN 55449

763.754.6638 (office) • 612.875.0050 (mobile)

info (at) FreddieJustice.com