Booking Request Form
Contact Info
Promoter Name:
Company Name:
E-Mail Address:
Address:
Phone Number:
Fax Number:
Pager/Mobile:
Last Event
Last Event:
Date of Last Event:
City of Last Event:
Attendance of Last Event:
Venue:
Line Up:
Event Request
Date of Event:
Name of Event:
City, Province/State:
Venue:
Venue Address:
Is Venue (check one):	All Ages 18 & over 21 & over
Does Venue Serve Alcohol:
Hours of Operation:
Capacity/Ticket Price:
Confirmed Line Up:
*Offer: International Bookings in US funds only Canadian Bookings = $CDN
References (booking agencies, DJ's, venue's, etc...)
Name	Phone Number