Performance Needs
   
Date of Performance month day year
Time Frame to
Event / Theme
Location
  Indoors Outdoors
Covered Stage? Yes No

Electricity Available?

Yes No
Stage Size
Sound/Lights Provided? Yes No
Lodging Avaiable? Yes No
Set-up to be completed by: (time of the day)
   
Budget Range to
   
Special Requests/Type of Entertainment Desired
   
Contact Information
   
Contact Name
Company Name
Web Address/URL
Address
City
State Zip
E-mail
Phone
Fax
Best Time to Call
 

 

 

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