CONCERT INFO

Guarantee Offer (required)

Percentages

Showtime

Nature of Event

VENUE INFO

Venue Name

Address

US State / CA Providence

—Please choose an option—ALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY---ABBCMBNBNLNSNTNUONPEQCSKYT

Country

Capacity

Has PA

—Please choose an option—YesNo

Merchandise Fees/Restrictions

City

Zip

Venue Phone

Ticket Prices

Has Lighting

—Please choose an option—YesNo

PURCHASER INFO

Full Name (required)

Address

US State / CA Providence

—Please choose an option—ALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY---ABBCMBNBNLNSNTNUONPEQCSKYT

Country

Home/Cell

Your Email (required)

Info Web Site

Purchaser Company

City

Zip

Business Phone

Fax

Info Phone

YOUR BUDGET (required)

I don't have one yet$7,000-$10,000$10,000-$25,000$25,000-$50,000$50,000-$100,000$100,000-$500,000$500,000-$1million$1million+

TYPE OF EVENT? (required)

AppearancePerformanceSpeaking EngagementOther

PUBLIC OR PRIVATE EVENT? (required)

PublicPrivate

OTHER INFO

Lodging

—Please choose an option—HotelHost HomeChurch/Camp/DormNo Lodging

Headliner

—Please choose an option—YesNo

Flights

—Please choose an option—YesNo

Support Artists

NOTES

I understand and agree that by submitting this form I am entering into a binding agreement upon management approval and that a deposit will be required prior to show date.

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