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Performance Interest form
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What is the name of your organization?
Your answer
What type of event are you requesting the performance for?
Your answer
What is the location of the event?
Your answer
What is the date of the event?
MM
/
DD
/
YYYY
How many hours would you like my services?
1 hour
2 hours
3 hours
4 hours
5+ hours
Clear selection
Name and number of the point of contact
Your answer
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