Client Interest Intake Form:
***Please note that by filling out this form, it does not guarantee you approval***
Name
*
First Name
Last Name
Client Business Name (if Applicable):
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Website:
Event Description:
*
Concert
Corporate Convention
Wedding
Family Reunion
Art Exhibition
Sporting Event
Other
Is your date flexible?
*
Yes
No
Depends
Date of event?
*
Hours of event (include set up and breakdown)
*
Expected number of attendees?
*
Will your event have minors? (under 18)
*
Yes
No
Not Sure
Is your event open to the public?
*
Yes
No
Other
Will you be charging admission?
*
Yes
No
Not Sure
Do you plan to solicit and/or sell items at your event?
*
Yes
No
If so, what type of items do you plan to sell?
Is your event going to be advertised?
*
Yes
No
Not Sure
If so, what method(s) of advertising?
Radio
Television
Internet
Printed Material
Other
Will you require access to electricity?
*
Yes
No
Not Sure
What is your inclement weather plan?
*
HMG Management a division of Headliner Market Group
Submit
Should be Empty: