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Peformance Request
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone Number
*
Organization
Type of Event
*
Concert
Festival
Educational
Social
Business
Memorial/Commemorative
Other (please describe below)
Type of Event Description
Event Date
*
(mm/dd/yyyy)
Event Time
*
Performance Time
*
Requested Performance Duration
*
Description of Event
*
Venue Name
*
Venue Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Venue Description
*
Indoor
Outdoor
Piano/keyboard available, in tune, and in working order?
*
Yes
No
Not Sure
Dressing Room Available?
*
Yes
No
Not Sure
Rehearsal Space Available
*
Yes
No
Not Sure
Sound amplification available/required (please describe)
What is your budget for the performance?
*
Other Pertinent Information