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2. Freight Room Booking Request Form
4. Name of Group/Artist/Band*
5. Group/Artist/Band Website
6. Genre*
8. How many members are in your band?*
   -- Select One --12345More than 5
9. Which Friday and Saturday nights is your band/act available over the next two months? Specific dates work best. *
   Ex: We can play June 17 and 24, and July 12.
11. Please list your performance set up needs:*
15. Your Contact Information
17. First Name*
18. Last Name*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Phone Number*
27. Email Address*
29. Questions, comments, stage requests?
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field