document.write("<style>.formbutton{border:1px solid #000000 !important;background-color:#EFEFEF !important;color:#000000 !important;font-size:12px !important;font-weight:400 !important;border-radius:2px !important;padding:5px 5px !important;margin:3px 3px !important;}</style><style>.form-control {padding:0px 12px !important;}</style><script>if(!window.jQuery){var script = document.createElement('script');script.type = 'text/javascript';script.src = 'https://ajax.googleapis.com/ajax/libs/jquery/1.8.1/jquery.min.js';document.getElementsByTagName('head')[0].appendChild(script);}</script><link rel='stylesheet' href='https://nycbestdjclients.com/clients/includes/mobile-framework.css'><style>p {font-size:11pt;font-family: 'roboto', arial, sans-serif;} .form_control {padding:0px !important;}</style><style>.custom_logo_image {max-width:100%;width:auto;}</style><form  method='post' action='https://nycbestdjclients.com/request_information.asp' onSubmit='return submitIt(this);' name='reqinfoform' style='margin:10px 20px;'><div style='border:1px solid #000000;border-collapse:collapse;'><div style='font-size:11pt;font-family:Roboto,Verdana,Arial;color:#000000;background-color:#00C1CF;color:#000000;' align='center'><div style='padding:8px;'><strong>Rob Hines Entertainment LLC<br>Information Request Form</strong></div></div><div style='padding:13px;background-color:#FFFFFF;color:#000000;'><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Date of Event</div></div><div class='col-sm-8 col-md-9'><span class='metro-table' id='date_select'><select name=month class=monthselect><option value=43>Month</option><option value=1>January (1)</option><option value=2>February (2)</option><option value=3>March (3)</option><option value=4>April (4)</option><option value=5>May (5)</option><option value=6>June (6)</option><option value=7>July (7)</option><option value=8>August (8)</option><option value=9>September (9)</option><option value=10>October (10)</option><option value=11>November (11)</option><option value=12>December (12)</option></select><select name=day class=dayselect><option value=43>Day<option value=1>1</option><option value=2>2</option><option value=3>3</option><option value=4>4</option><option value=5>5</option><option value=6>6</option><option value=7>7</option><option value=8>8</option><option value=9>9</option><option value=10>10</option><option value=11>11</option><option value=12>12</option><option value=13>13</option><option value=14>14</option><option value=15>15</option><option value=16>16</option><option value=17>17</option><option value=18>18</option><option value=19>19</option><option value=20>20</option><option value=21>21</option><option value=22>22</option><option value=23>23</option><option value=24>24</option><option value=25>25</option><option value=26>26</option><option value=27>27</option><option value=28>28</option><option value=29>29</option><option value=30>30</option><option value=31>31</option></select><select name=year class=yearselect><option value=43>Year</option><option value=2022>2022</option><option value=2023>2023</option><option value=2024>2024</option><option value=2025>2025</option><option value=2026 selected>2026</option><option value=2027>2027</option><option value=2028>2028</option><option value=2029>2029</option><option value=2030>2030</option><option value=2031>2031</option><option value=2032>2032</option><option value=2033>2033</option><option value=2034>2034</option><option value=2035>2035</option><option value=2036>2036</option><option value=2037>2037</option><option value=2038>2038</option><option value=2039>2039</option><option value=2040>2040</option><option value=2041>2041</option><option value=2042>2042</option><option value=2043>2043</option><option value=2044>2044</option><option value=2045>2045</option><option value=2046>2046</option><option value=2047>2047</option><option value=2048>2048</option><option value=2049>2049</option><option value=2050>2050</option></select></span><script>$('#date_select select').addClass('form-control');$('#date_select select').css('float','left');$('#date_select select').css('width','31%');$('#date_select select').css('margin','2px');</script></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>First Name</div></div><div class='col-sm-8 col-md-9'><input type='text' class='form-control width90hack' id='first_name' name='first_name'></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Last Name</div></div><div class='col-sm-8 col-md-9'><input type='text' class='form-control width90hack' id='last_name' name='last_name'></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Email Address</div></div><div class='col-sm-8 col-md-9'><input type='email' class='form-control width90hack' id='email' name='email'></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Telephone</div></div><div class='col-sm-8 col-md-9'><input type='tel' class='form-control width90hack' id='telephone' name='telephone'></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Type of Event</div></div><div class='col-sm-8 col-md-9'><select name=event_type class='form-control responsive-form-select'><option value=''>Please select...</option><option >Wedding</option><option >Sweet Sixteen</option><option >Bar/Bat Mitzvah</option><option >Cafe Wha Event</option><option >Corporate</option><option >School</option><option >After-Party</option><option >Rental</option><option >Other</option></select></div><div class='cf'></div><div style='height:0px;'></div></div><div class='form-group'><div class='form-group'><div class='col-sm-4 col-md-3 padding-tb-7'><div class='padding-lr-5'>Services of Interest*&nbsp;<input type=hidden id=q1_required name=q1_required value=TRUE><input type=hidden name=q1_mapto value=service_description></div></div><div class='col-sm-8 col-md-9'><input type=checkbox name='question_1' value='DJ' >DJ<br><input type=checkbox name='question_1' value='Photo Booth' >Photo Booth<br><input type=checkbox name='question_1' value='Photography' >Photography<br><input type=checkbox name='question_1' value='Videography' >Videography<br><input type=checkbox name='question_1' value='Other' >Other<br></div><div class='cf'></div><div style='height:0px;'></div></div></div><div class='form-group'><p><label class='questiontitle'><input type=checkbox name=sms_consent value='true'>Please tick this box to receive SMS updates regarding your event.</label></p></div><div class='form-group'><p align=center><label class='questiontitle'><input type=checkbox name=privacy_policy value='true'> Agree to our Privacy Policy</label> <small><a href='https://nycbestdjclients.com/privacy.asp?djidnumber=16748&view=websitetools' target='_blank'>(Click To View)</a></small></p></div><input type='hidden' name='checkdate' value=''><input type='hidden' name='djidnumber' value='16748'><input type='hidden' name='action' value='add_information_request'></div></div><br><p align='center'><input type=submit name=submit value=Submit class='formbutton'></p><br></form></body></html>")