Manager/Agent's Name

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (Cell)

(###)

###

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Phone (Other)

(###)

###

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If you are a band, are you self-contained or do you require a sound technician?

We do not allow any bands to plug directly into our audio system.

Self-Contained

Requires Technician

Not Sure