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ORGANIZATION NAME
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CONTACT NAME
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PHONE/CELLPHONE
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EMAIL ADDRESS
*
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SECONDARY PHONE
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STREET ADDRESS
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HOW DID YOU HEAR ABOUT US
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PRIMARY SERVICE REQUESTED
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St. Joe Drum Stixx
MidCity Praise Dancers
MidCity Gospel Choir
Guest Speaker
EVENT TYPE
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Fund Raising Event
Performance
Rally
Sporting Event
Church Service
Holiday Celbration
Parade
Lunch
Civic meeting
Other
DATE OF EVENT
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MM
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DD
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THIS EVENT IS
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iN PERSON
CONTACTLESS
ONLINE EVENT
IS THIS A TICKETED, PAID, OR PATRONIZED EVENT?
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TELLS US A LITTLE MORE ABOUT YOUR EVENT
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HOW MANY PEOPLE ARE EXPECTED TO ATTEND THIS EVENT?
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WHAT IS YOUR BUDGET FOR ENTERTAINMENT AT THIS EVENT
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WILL THERE BE A PR OR SPONSORSHIP OPPORTUNITY FOR MIDCITY EXCELLENCE?
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DO YOU HAVE AN SPECIAL REQUEST OR REQUIREMENTS FOR THE ENTERTAMENT?
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WHAT IS THE TIME OF THE EVENT
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Time
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AM
PM
HOW LONG SHOULD THE PRESENTATION/ENTERTAINMENT BE
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WILL WE BE THE FEATURE PRESENTER/ENTERTAINMENT.
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