Mikey Gallagher

Your Name (Buyer) *

First Name

Last Name

Date Of Show Performance / Appearance *

MM

DD

YYYY

Artist Performance / Appearance Time *

Hour

Minute

Second

AM PM

Artist Will Headline Your Event / Yes or No *

Yes

No

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Venue Phone

Country

(###)

###

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Promoter Name *

First Name

Last Name

Promoter Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name *

First Name

Last Name

Contact Phone / Cell Phone *

Country

(###)

###

####

Buyer Pays Hotel / Yes or No *

Yes

No

Buyer Pays Artists Flight / Yes or No *

Yes

No

Buyer Pays Local Transport / Yes or No *

Yes

No

Buyer Pays Artists Meal-Buyout Yes or No *

Yes

No

Buyer Pays Catering / Yes or No *

Yes

No

Visa Required / Yes or No *

Yes

No

In digitally signing below & clicking Accept, I acknowledge that services have begun on my behalf to secure talent for the aforementioned event(s) and that all actions rely on the facts provided. A fee of ten percent (10%) of the offer amount for secured talent may vest if client does not move forward on secured talent in a timely fashion. Depending on the level of booking a retainer may also be required. Typing your name below is the same as signing. Authorized Signatory. *

First Name

Last Name

Date *

MM

DD

YYYY

By clicking the I Accept button below, you agree to our terms above on digitally signing this booking form. *

I Accept