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2. 
4. Artist/Band Name*
6. First Name*
7. Last Name*
9. Email Address*
11. Phone Number*
12. Genre of Music
14. Website/Social Media Link - Samples of previous performances*
16. Cover Charge ($)*
18. Promotional Photos

    These photos would be used in the marketing of your performance.

20. Additional Comments
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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