URock Entertainment
Information Request Form
Date Of Event
Month
January (1)
February (2)
March (3)
April (4)
May (5)
June (6)
July (7)
August (8)
September (9)
October (10)
November (11)
December (12)
Day
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
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
First Name
Last Name
Email Address
Telephone
Event Location (venue)
Please Select A Venue...
Belhurst Castle and Winery - Geneva, NY
Bella's Restaurant & Catering - Hazleton, PA
Blue Mountain Resort - Palmerton, PA
Blue Ridge Trail Golf Club - Mountain Top, PA
Bottlenecks Sallon & Eatery - West Hazleton, PA
BUTLER TOWNSHIP COMMUNITY CENTER - Drums, PA
Butler Township Fire Hall - Drums,, PA
Capriottis Catering - McAdoo, PA
Carmens Inn & Gardens - Drums, PA
Catalpa Grove at Lakewood Park - Barnesville, PA
Citizens Fire Co. - Weatherly, PA
Correale's Grove - Drums, PA
Eagle Rock Resort - Hazle Township, PA
East Penn Sporting Club - Lehighton, PA
Edgewood Golf & Weddings - Drums, PA
Happy Pizza - Plymouth, PA
Holy Name of Jesus - West Hazleton, PA
Home - Sugarloaf, PA
Jeddo Stars Athletic Association - Freeland, PA
Jingle Hall - Berwick, PA
Lehigh and Lausanne Rural Vol. Fire Company - Weatherly, PA
Lookout Fire Company - Pen Argyl, PA
Marian Catholic High School - Tamaqua, PA
McAdoo VFW POST 6708 - Mc Adoo, PA
Mountain Larel Golf Club - White Haven, PA
Pottsville Zone - Pottsville, PA
Same As Client Address - Millville, PA
Same As Client Address - Mountain Top, PA
Same As Client Address - Mountain Top, PA
Same As Client Address - Mountain Top, PA
Same As Client Address - Mountain Top, PA
Same As Client Address - Mountain Top, PA
Same As Client Address - White Haven, PA
Same As Client Address - White Haven, PA
Same As Client Address - White Haven, PA
Same As Client Address - White Haven, PA
Same As Client Address - White Haven, PA
Sand Springs Country Club - Drums, PA
Sand Springs Country Club - Drums, PA
Steve and Leslie Moyers - Weatherly, PA
The Brass Buckle - Conyngham, PA
The Other Side Bar & Grill Inc. - Freeland, PA
The Pines Eatery & Spirits - Hazleton, PA
The Venue at Liberty Valley - Danville, PA
Towers Bar & Restaurant - Fern Glen,
Tresckow Hosey - Tresckow, PA
VFW (Veterans of Foreign Wars) - Freeland,
VFW Grove 1 Veterans Road Freeland, PA 18224 - Freeland, PA
YMPA - Young Men's Polish Association - Hazleton, PA
If your event location is not listed above please fill in the following...
Event Location (Venue)
Event Location (City)
Event Location (State)
Select...
Alabama
Alberta
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
NW Territories/NVT
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Type Of Event
Please select...
Banquet
Bar Mitzvah
Bat Mitzvah
Birthday Party
Class Reunion
Community Celebration
Company Holiday Party
Corporate Event
Family Reunion
Fundraiser
Graduation Celebration
Night Club / Bar Dance
Picnic
Private Party
Quinceanera
PA / Sound Reinforcement
School Dance
Singles Dance
Sweet 16
Wedding Anniversary
Wedding
Wedding 2
Wedding 3
Wedding 4
Wedding 5
Other / Not Listed
Additional Questions Or Event Details
How did you hear about us?