GENERAL INFORMATION

* Event Date

* Artist Requested

Alternate Choice

CONTACT PERSON'S INFORMATION

First Name

Direct Phone

Last Name

OFFERS

* Offer Amount

* Plus Flight(s)

* Plus Hotel(s)

* Plus Ground Transport

* Plus Work Permit(s)

Offer Notes

VENUE INFORMATION

* Venue Name

* City

* Country

Phone

* Capacity

Doors

* Street Address
(No P.O. boxes)

State

* Postal Code

Fax

* Age Limit

Curfew

VENUE CONTACT PERSON

First Name

Phone

Last Name

BUYER INFORMATION

* Buyer Company

* Signatory First Name

* Street Address
(No P.O. boxes)

State

* Phone

Fax

* Signatory Last Name

* City

Zip

Cellular Phone

* Email

EVENT INFORMATION

* Ticket Price (Advance)

Proposed Set Time

* Ticket Price (Door)

Other Artists Performing

ADDITIONAL INFORMATION

Have you ever worked with Ten In One Talent before?

If so, which artists and for what dates?

What other agencies have you worked with in the past? Please specify artist you booked from this agency.

Additional Comments

Please check over the request form you have filled out before submitting it to Ten In One Talent.
Make sure all of the fields are completed with information. Again, please remember the guidelines below before sending your artist request to us. Thank you.

1) One Artist per request form.
2) Do Not submit a request until you can answer all the required fields.
3) The completion of this form does not guarantee you a booking for the Artist(s) requested.

NOTE: Those who have not worked with Ten In One Talent in the recent past are required to pay all money up front for first time bookings.

ARTIST REQUEST FORM