Name:  
      E-mail:  
Organization:  
   Day Phone:  
Evening Phone: 

Tell us about your event:
Date(s) requested:
Time(s) requested:
Approximate length:
Approximate size audience expected:
Show Place and City:
Type of floor: 
Do you have a sound and PA system? 
  Yes, just bring your music
  No, please bring your system


How did you hear about us? 
  (Select one)
  Saw you dance
  Word of mouth
  Internet
  Flyer
  Newspaper/Radio/TV
  Other


Message/Special Requests: