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YOUR CONTACT INFO
YOUR NAME:
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ORGANIZATION:
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TITLE:
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ADDRESS:
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CITY/STATE/ZIP:
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E-MAIL:
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WEBSITE:
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PHONE NUMBER:
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MOBILE PHONE NUMBER:
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EVENT INFO
DATE OF EVENT:
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VENUE NAME:
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EVENT ADDRESS:
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EVENT CITY/STATE/ZIP:
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What kind of event are you planning:
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Wedding    
Fundraiser    
Banquet    
Bar Mitzvah    
Bat Mitzvah    
Party    
Other
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How many people do you expect in attendance?
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Will there be other artists, speakers, or acts? If so, please indicate:
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What kind of budget are you working with?
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Have you included travel/sound expenses in your budget?
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Is this the first time you have booked Sam Glaser?
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PLEASE ENTER ANY QUESTIONS OR COMMENTS IN THE SPACE PROVIDED BELOW:
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