Screamin' Eagles Gigs Request Form
Full Name:
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Preferred Form of Communication:
*
Please Select
Call
Text
Email
Best Time to Contact You:
*
Please Select
8:00a-11:00a
11:00a-2:00p
2:00p-5:00p
5:00p-8:00p
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Event Date:
*
-
Month
-
Day
Year
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Event Venue Name:
*
Event Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Indoor or Outdoor Event?
*
Please Select
Indoors
Outdoors
Both
Event Type:
*
Please Select
Wedding
Reception, Dinner, Art Opening, Fund-Raiser, etc.
Other
Please Explain "Other."
*
Type of Music You Would Prefer:
*
Please Select
Classical
Jazz
Pop
Country
R&B
Other
Please explain "Other."
*
Starting Time for Musical Services for this Event
*
Hour Minutes
AM
PM
AM/PM Option
Ending Time for Musical Services for this Event
*
Hour Minutes
AM
PM
AM/PM Option
Please list any special directions and be as specific as possible (if applicable).
Example: Request for a specific piece of music or song to be played
Dress Code (Please be specific):
*
Examples: Suit and tie/dress, concert black, business casual, etc.
Access to Power/Electricity (if needed)?
*
Please Select
Yes
No
Rate You Can Offer:
*
Please enter the total offer, not per player
Is That Rate Negotiable?
*
Please Select
Yes
Not Sure (someone will contact you to assist)
Submit
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