Tialauna Music Appointment/Meeting/Session Form
Please Fill Out The Following Appointment Form Below. (Contact: music@tialauna.com, 404-369-8483)
Personal Information
Full Name
*
First Name
Last Name
Stage Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Your Field?
*
(DJ, Singer, None, Rapper, Promoter, Producer, ETC)
Your City/State
*
Enter Your City And State
Record Label?
Social Links
Instagram?
Radio Station?
For Radio Station Owners And Employees
Facebook?
Snapchat?
Twitter?
Soundcloud?
Website?
Additional Link(s)?
Appointment/Meeting Information
What Type Of Appointment Are You Scheduling?
*
In Person Appointment
In Person Radio Interview
Studio Session
Call-In Radio Interview
Photo/Video Shoot
Conference Call
Other (Specify Below)
Reason For Appointment/Meeting
*
Meeting Place Name
For In Person Appointments Only
Meeting Place Address (For In Person Appointments Only)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Price Budget/Compensation (If Any)
Enter any amount you are looking to pay to book a specific service or session.
Transportation Reimbursement Amount (If Any)
Enter any amount you are paying for Tialauna's transportation
Call-In Phone Number
For Conference Calls/Call-In Radio Interviews Only
Date Of Meeting
*
-
Month
-
Day
Year
Date
Time Of Meeting
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Optional Media Upload
Browse Files
Optional
Cancel
of
Form Submission
Add Your Message
*
Enter Your Full Name To Sign This Form (This Acts As Your Electronic Signature)
*
Enter Today's Date
*
Submit
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