First Name

Last Name

E-mail address

Phone (Please include area code)

Fax (Please include area code)

Address

City

State or Country

Zip or postal code

Name of venue

Type of venue
(nightclub, hotel, ship, wedding, etc.)

Describe the kind of entertainment needed (band, vocalist, novelty, headline, celebrity act, etc.)

Are there any specific regulations to their act? (no rap, no disco, squeaky clean, stage clothes, appearance, etc.)

Size of audience and venue

Address or general location of engagement

Date of engagement and approximate hours

Approximate budget (including transportation and hotel if necessary)

Do you request any promotional material on any specific acts?

Additional information and comments