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
What Is Your Field?
*
(DJ, Radio Personality, Artist, Promoter, Producer, Photographer, None, Etc.)
Your City/State
*
Enter Your City And State
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)
If You Chose "Other" Please Specifiy Here
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
Schedule A Date
*
-
Month
-
Day
Year
Date
Schedule A Time
*
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
(Flyers, Instructions, Programs, Outlines, Etc.)
Cancel
of
Form Submission
Add A Message/Any Additional Details
*
Submit
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