Performance Request - City House

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Name of Performer/Group/Band(Required)

Main Contact Name(Required)

First Last

Phone of Contact(Required)

Email of Contact(Required)

Website of Performer/Group/Band:

Picture of Performer/Group/Band:

Max. file size: 50 MB.

Best Description of Style/Type of Music/Performance:

First Date Preference(Required)

Load in Time

Performance Time

End Time

Second Date Preference(Required)

Load in Time

Performance Time

End Time

Third Date Preference(Required)

Load in Time

Performance Time

End Time

Any Special Needs/Requests?

PERFORM AT CITY HOUSE