Member Information: *Member Name: Organization Information: *Organization Wanting Performance: *Contact Name: *Phone: *Email: Alternate Phone: Best Time To Call: Alternate Contact Name: Phone: Alternate Phone: Email: Event Information: Type of Performance: Concert Meeting Christmas Special Event If Special Event; What: Month/Day/Year: Event Start Time: Event End Time: How Many Minutes Do You Need? Is There a Theme to Stress? Is There a Theme to Avoid? Event Street Address: Event City, State and Zip: Is Parking Available for Chorus? Performance Room Information: Stage Yes No Ceiling Height Low High Do You Have a Piano? Yes No Do You Have 110v Electrical? Yes, Within 50 Ft Yes, within 100 Ft Yes No Where Can Chorus Warm Up?: Confirmations: Email to send Confirmation: Name/Address to Mail Confirmation: Method of Payment: Person to Contact for Payment:
Additional Information: