Group/Band Name
*
Band Website URL
City Based Out of
*
What Year Did Your Group/Band Start
*
Briefly Describe the Type of Music Performed (Repertoire) In Two Lines or Less
*
Who is Your Typical Demographic (ie. 25-35 Female, 40 Something):
*
Briefly Describe Your Group/Band Make-up (Number of Vocals, Bass, Drums, Keys, etc.):
*
Facebook URL
Number of Followers
Instagram URL
Number of Followers
What Were The Last 5 Venues You Played (Venue, City, and Date):
*
What is Your Compensation Rate (What Are You Asking To Be Paid):
*
Contact (First and Last Name)
*
Contact Group/Band Role
*
Contact E-mail
*
Phone Number
*
SUBMIT
Should be Empty: