|
APPEARANCE REQUEST FORM (Must be Completed) ALL
appearances are fee based. Scheduled fee disclosure will follow upon approval of
request form. Corporate/Company/Organization Name:
_________________________ City:_________________________ State: _____ Zip: ______________ Contact Name:
________________________________________________ Contact Phone: _______________ Fax: ______________________ญญญญญ____ Desired Date of Appearance: _____________ Time:
_________________ (length of event) Desired Location:
_____________________________________________ (Include name, city,
state) Check all that apply: ___ Charity Dinner/Event ___ Church Organization ___ Corporate Appearance ___ Birthday (dinner,
office, event) ___
Bat-mitzvah ___ Meet and Greet ___
School
(dinner, office, event) ___
Private Organization ___ Private Box Appearance (sporting
events) ___ Other:
_____________________________ Explanation of appearance request:
______________________________________________. Please fax all requests to: 570-282-6272 Or
e-mail to: strawmarketing@aol.com All flights, hotel accommodations, transportation and |