Response-O-Matic Form

Response-O-Matic Form Response-O-Matic Form

Thanks for Choosing Dr. Electro for your next party science theme party To make your next child's party a spectacular one please fill out the following information! Click on submit when you are done.

Your Name:

Email Address:

Phone Number:

Number of Children attending party:

Date of event/party:


What time the party will be held?:


Address of Party:

How did you hear about Dr. Electro? Surfing the Internet Friend pic a card yellow pages yellowpages.com Ricky's Candy Cones and Chaos Other
If other how/where?

If pick a card, what store did you pick it from?

Would you like Dr. Electro to stay an extra hour?

If yes what would like him to do?

Where will Dr. Electro be parking?

Additional information