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Confirmation:

A. Organization/Company:

* Indicates required field

Authorized Representative *

First

Last

Email *

Authorized Rep. Phone Number *

Organization/Company *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone Number *

B. Event Info:

Name/Theme of your event: *

Date of event: *

Time of event: *

Performance Start Time *

Peformance End Time *

Location of event if different from business address: *

Line 1

Line 2

City

State

Zip Code

Country

C. Personal Appearance

Who are you expecting to appear? *

If other, please specify *

2. What will be the duties in that appearance? *

If Other, please specify *

Is there a stage? *

Yes No Not Sure

Will there be stage lighting? *

Yes No Not Sure

Will there be a sound system? *

Yes No Not Sure

If any combination of Stage, Lighting, or Sound System are not present and working properly, the duration of the performance(s) may be decreased from what was originally agreemed upon. *

Acknowledge

Will the event be video-taped or recorded? *

Yes No Not Sure

D. Compensation/Deposits

Will the promoter of this event secure all air fare, hotel, and ground transportation *

Yes No None Required

In U.S. Dollars, what amount if any, was agreed upon? *

Deposit Amount *

How will you be paying the non-refundable deposit (25-50%)? *

Via Pay pal link below By Mail Check or Money Order None Required

Will the balance be paid UPON ARRIVAL(50-75%)? *

Yes No

How will you be paying the 50% balance? *

Via Pay Pal link below Money Order Company Check (No Pesronal Checks) Cash

Is there a possibilty of a second show being added? *

Yes No

If a second show is added, what amount of compensation for this show was agreed upon (U.S. Dollars)? *

If a second show is added, the talent cannot begin a performance until PAID IN FULL. *

Acknowledge No Second Show will be added

All deposits are NON-REFUNDABLE. However, A FULL REFUND will be paid ONLY in the event Lester Barrie Inc. OR a talent secured by Lester Barrie Inc. must cancel this appearance. Check to acknowledge *

Acknowledge

This confirmation is agreed upon and submitted by: (Type First & Last Name in comment box below) Also, add any additional comments in this box. *

Submit

STOP!!
***PLEASE DO NOT MAKE A PAYMENT UNTIL PROMPTED TO DO SO BY A Lester Barrie RERESENTATIVE***

Payment Information ONLY WHEN PROMPTED to do so:
Check Made Payable To:
Lester Barrie Inc.
Mail payment Via US Mail to:
Lester Barrie Inc.
PO Box 5821
Norco, CA 92860
Or Pay Deposit Online (click "Donate" button):