Please use the

when submitting this form
Artist/Group Name
Contact Person(s)
Address
City
State
   
Zip Code
   
Home Phone
   
Work Phone
E-mail Address

 
Number in Group
     
Amount you wish to be paid for performance/exhibit
   
Detailed description of proposed project or performance
Space requirements
Specific Technical requirements
Will you be able to incorporate the theme "Wonders of the World" into your next act?
Yes No