Full Name of Client: _____________________________________________
Contact Numbers: Cell_________________________
Home_______________________ Work _____________________
E-mail Address: _______________________________
Date of Event: _____________________Day of Week: _________________
Type of Event: _________________________________________
Address Location of Event: __________________________________
City ________________________________
House ___, Commercial building ___, Restaurant ___, Inside____, Outside _____
Size/Shape of Performance Area: _______________________________________
Carpet _____ Hard Floor _____ Grass _____ Concrete _____
Start Time of Event: _______________ Start Time for Entertainment: ______________
Length of time for Stage Performance: __________________
Audience participation (Open Dancing) desired: __________
Rate Quoted: _________ $, Plus Booking charge: $10 ____
Travel Time Rate Applied: ____________
Estimated number of guests: ______
Name of Special Guest(s): ____________________________________________
Type of Sound System: In House system ______, Bring Boom Box ______
CD ____, Tape ____
Dressing Room available: _________
Parking available: ___________________
Additional Notes, Special Requests and Questions to be answered later: ________________________________________________________________________ ________________________________________________________________________________________________________________________________________________ ________________________________________________________________________