Booking Survey Form PLEASE COMPLETE AND SUBMIT THE FORM BELOW IF YOU ARE INTERESTED IN BOOKING A PERFORMANCE BY MEREDITH GOINS. NAME OF PRIMARY CONTACT PERSON * First Name Last Name Phone (###) ### #### Email * NAME OF EVENT VENUE ADDRESS Address 1 Address 2 City State/Province Zip/Postal Code Country NAME OF CLIENT / PROMOTER First Name Last Name Phone for Promoter / Event Manager (###) ### #### Email for Promoter / Event Manager TYPE OF EVENT Festival Theater Event Dinner Event Reception Wedding Religious Event Other (please describe in notes field below). Describe the Event and any Special Requests: REQUESTED PERFORMANCE DATE: * MM DD YYYY REQUESTED PERFORMANCE TIME(S): * LENGTH OF PERFORMANCE: 30 minutes or less 40-60 minutes 75-90 minutes Other (please detail in notes area) NUMBER OF PERFORMANCES PER DAY: Is the event open to the public? Public Event Private Event Will the performance be indoors or outdoors? Indoor Performance Outdoor Performance If outdoors, is the stage area covered, or can it be covered in the event of inclement weather? In case of inclement weather, please describe the plan for the performance: Performance will continue as planned Performance will be delayed by 30 minutes - 2 hours Performance will be postponed or rescheduled to a later date. Performance will be cancelled. Size of Audience / Number of Guests Anticipated? Is this a Ticketed Event? Yes, tickets will be sold Yes, but tickets are provided at no cost No tickets are required Ticket Price (if applicable): ADVERTISING/PROMOTING THE EVENT Please select all that apply TV Radio Social Media Event Posters/Flyers Newspaper(s) Other Publications No promotion/advertising required for the event Will a sound system be provided for the performance? No, we would like Meredith to provide her own sound system for her performance Yes, a sound system and professional sound engineer will be providing sound equipment for all performance requirements IF YES, Please provide the name and contact detials of the sound engineer First Name Last Name Email Phone (###) ### #### I/We give Meredith Goins permission to contact the sound engineer directly to discuss sound requirements for her performance. Yes No, Please coordinate through event staff first. If appropriate, can the performer offer merchandise and/or music for sale at the event? Yes No Does this event have a sales commission or revenue-sharing policy on merchandise sold by performers? What is your budget for Meredith's Performance? * PLEASE LIST ANY OTHER DETAILS OR QUESTIONS YOU MIGHT HAVE: Thank you for your interest in booking a performance by Meredith Goins! We will review the submitted information and be in contact for further disussion.
