Information Request
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*
First Name
*
Last Name
Business or organization
Street Address
Address Line 2
*
City
*
State
N/A - Outside USA
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
If outside USA, Country
*
Postal or Zip Code
*
Preferred Phone number
*
Preferrred phone number is
Home
Work
Cell
Alternate Phone Number 1
Alternate phone number 1 is
Home
Work
Cell
Alternate Phone Number 2
Alternate phone number 2 is
Home
Work
Cell
Fax Number
*
Email Address
Your website
*
Date of event
*
Day of week
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Alternate date (if yours are flexible)
Day of week
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
*
Band start time (include AM/PM)
*
Band end time (include AM/PM)
*
Total hours requested
30 min
1 hour
1.5 hours
2 hours
2.5 hours
3 hours
over 3 hours
*
Number of musicians you
expect to play (excluding vocalists)
*
Do you want a vocalist?
Yes
No
Don't know
*
Type of Event
*
Is this an ongoing or one-time event?
Ongoing
One Time Event
If ongoing event(s), please describe
Number of guests or size
of audience expected
If you have a budget for your band,
how much is it?
*
Is your event indoors
or outdoors?
Indoors
Outdoors - concert/wedding tent
Outdoors - no shelter
If outdoors without shelter, do you have an alternate
indoor location in case of bad weather?
Yes
No
Don't know
*
Venue Name
Venue Street Address
*
Venue City, State, Zip
Is there a PA available
in the venue?
Yes
No
Don't know
Is there a piano or other keyboard available
for band use at the venue?
Yes
No
Don't know
If yes to either of the above questions, please describe the PA system and/or piano.
Business or non-profit customers, please describe any invoices/tax information you will need before making payment and when they must be submitted:
If outside of Birmingham, Alabama Metro area, travel requirements (directions, distance, time, etc.)
Other information or requests
Return to Clevelandeaton.com
Return to CeeMeProductions
*
Indicates Response Required
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