Name: *

Name of College/ University/ School: *

Email Address: *

Type of Show: College Stage Hypnosis Show Corporate Stage Hypnosis Show *

Date AND time of your party or event: *

What city or town will the party be held? *

Approx. number of persons attending:

Will this be a sit-down affair, buffet or no food? Sit-Down Meal Buffet-Style Meal No Food

Anything else I might need to know?

How did you find out about Bryan Dean's Comedy Hypnosis Shows? *

If you'd like to be contact by telephone (and, it would make things a lot easier),
please type it here with the area code:

Thanks... I'll be in touch very shortly!

Bryan Dean