Booking Request Form
Provide Event Information Below
Which Artist(s) are you requesting to book?
Nicky Gracious - $1,500+Travel/Lodging
RiP - $1,000+Travel/Lodging - $2,000 Music Video Production Services (cost subject to change depending on scope of project)
SORIpm - $750+Travel/Lodging
ALL
Desired Event Date
*
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Month
-
Day
Year
Budget
*
Set Duration
*
Will also pay for travel (Flights, Train, Bus)
Yes
No
Will also pay for accommodation
Yes
No
Will also pay for ground transportation
Yes
No
Will a PA system be provided by the venue
*
Yes
No
Venue Name
*
Venue Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
Venue Phone
*
Please enter a valid phone number.
Venue Capacity
*
Expected Attendance
*
Venue Type
*
Please Select
Church
College
Conference
Recovery Center
Other
Event Name
*
Event Description
*
Age Limit
*
Doors Open
*
Performance Time
*
Venue Curfew
*
CONTACT INFORMATION
Provide Contact Information Below
Name
*
First Name
Last Name
Email
*
Phone
*
Please enter a valid phone number.
Company/Organization
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
Message to Agent
*
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