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Mr.Vegas man Performance Inquiry Form

Skip any blanks that don't apply to you. All information is kept private.
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Your Name:
Your Job Title:
The Name of Your Organization:
Your Location (City and State):
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Your Phone Number & Best Time to Call:
Which service(s) are you inquiring about?

Please check all that apply.


Public Library Programs
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Festival
Church
Party
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How many different programs and venues will be involved?

Be as detailed as you can.

Would you like to find another venue to share the cost of a day?

If so, you may want to recommend some people for us to call.

Your Budget:

Please tell us whatever you feel comfortable sharing or feel it's necessary for us to know about your budget. (Optional)

Date(s) Requested:

Indicate the dates you are interested in. Be as specific or non-specific as you want.

Examples: "3/5/2009", "A Tuesday in March", "Sometime this Fall"

1st Choice: 

2nd Choice:


3rd Choice: 

 

Shall we hold a date for you if we can? Yes No
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Questions or Comments:

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