Pennsylvania Jack

Contact Jack!

Please use this form to send a private message or an inquiry to Jack, regarding an upcoming event, this website, or any of his stories. It will send an email with your information to him. Note that the Guestbook has been deactivated as a result of frequent misuse. Thank you!

The fields marked with (*) are Optional.

1. Name:

2. E-Mail:

3. *Telephone:

4. *Address:

5. *City:

6. *State:

7. *ZIP:

8. Are you interested in having Pennsylvania Jack perform for your organization? Yes! No, thank you.

If you answered "No" to Question #8, please skip Questions #9-11.

9. What is the name of your organization?

10. When is the date and time of your event?

11. Where is the location of your event (city, state)?

12. Do you have any comments about this website?

13. Do you have any other comments?