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2. Performing Artist/ Group*
3. Number in Group*
5. Phone Number*
6. Email *
7. Website/ Facebook Page
9. Mailing Address*
11. City*
12. State*
13. Zip*
15. Description of group or performance*
17. Preferred Dates (1st, 2nd, 3rd choice)*

    1. July 12th
    2. August 9
    3. September 6
    4. October 11
19. Equipment Needed*

    1. None
    2. Microphone
    3. XLR Cable
    4. Mic Stand
    5. PA

    Guitar cables and amps must be brought by musician.

20. Other
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field