Performance Date Requested *

MM

DD

YYYY

At Which Events do you want the artist to perform? *

Please check all that apply. Provide any additional detail in "Notes To Agent"

Reception

Ceremony

Cocktail Hour

This is a private or corporate event (not a wedding)

Reception Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Ceremony Venue Address

(If different than Reception Venue)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Ceremony Start Time *

Hour

Minute

Second

AM PM

Reception Start Time *

Hour

Minute

Second

AM PM

Artist Requested Performance Time *

If more than one performance, put first time here and any others in the notes.

Hour

Minute

Second

AM PM

Are you providing production? *

(Sound & Lights)

Yes

No

Backline Provided By Buyer? *

(Drums, Amps,etc.)

Yes

No

Meals Provided By Buyer? *

Yes

No

Beverage Tab Provided By Buyer? *

Yes

No

Accommodations Provided By Buyer? *

(Hotels)

Yes

No

Travel Provided by Buyer? *

(Air, Train, Ship)

Yes

No

Ground Transportation Provided By Buyer? *

(Car, Van, Shuttle from Arrival Location to Hotel, to Venue and back)

Yes

No

Coordinator Name *

First Name

Last Name

Coordinator Phone *

(###)

###

####

Coordinator Cell *

(###)

###

####

Buyer Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Production Contact Name *

Contact for who is providing lights and sound so technical details can be worked out with the artist's production person. If you are requesting the artist to provide sound and lights, or you don't know yet, just put your info and specify the circumstances in the notes.

First Name

Last Name

Production Contact Cell *

(###)

###

####