Heather Land Booking Inquiry
This form is intended to submit official booking offer requests for Heather Land. This offer does not represent a binding agreement and approval of this booking request will only be done by an authorized representative for Heather Land. By continuing to fill out and submit this form, you authorize your authority to submit requested information and that this information is accurate. Upon the final review of the form, a representative from Heather Land will respond to your inquiry. Due to high demand, it may take up to 14 days to receive a response. Thank you for your understanding.
Email address *
First and Last Name of Form Applicant (person filling out this form.) *
Your answer
Applicant Title and Company/Organization *
Your answer
Company/Organization Website (if applicable)
Your answer
Applicant Email Address *
Your answer
Applicant Phone Number *
Your answer
Date of Event *
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City, State of Event *
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Nearest Airport (for commercial flights) *
Your answer
Time of Event *
Time
:
Venue (Name of Venue)
Your answer
Capacity of Venue
Your answer
Type of Event Requested *
Method of Audience Entrance
If event is ticketed, please list the ticket pricing:
Your answer
Will there be any special guests as a part of this event? Please note that any special guests in addition to Heather must be approved by her management. *
Name of Purchaser Organization (also known as Buyer) *
Your answer
Name of Main Contact for Purchaser *
Your answer
Phone Number of Main Contact for Purchaser *
Your answer
Address of Purchaser
Your answer
Will the purchaser also serve as the Promoter
If answering "NO" to being promoter, please list the name, email, and phone number of promoter.
Your answer
Please list your budget for Heather's honorarium. *
Your answer
Please list any additional information that would be helpful in description of your event, organization, requests of Heather, and other related information that would be helpful in evaluating this offer.
Your answer
A copy of your responses will be emailed to the address you provided.
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