Company/Organization Name: *

First Name

Last Name

Primary Contact Name *

First Name

Last Name

Primary Contact Phone Number *

(###)

###

####

Primary Contact Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Backup Contact Name *

First Name

Last Name

Backup Contact Phone Number *

(###)

###

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Address of Event *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Santa Package *

Santa’s Prime Time Twinkle

Santa’s Jolly Off-Peak

Christmas Eve Magic

Christmas Morning Surprise

Christmas Day Delight

Preferred Santa Date *

MM

DD

YYYY

Preferred Santa Time *

Hour

Minute

Second

AM PM