DreamShapers Booking Order Form

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Contact Information
*First Name:
*Last Name:
Organization / School:
Billing Address:
Floor/Suite:
City:
State:	Zip:
Organization / School Ph:

Mailing Address (If different from billing)
Address:
City:
State:	Zip:

*E-mail:

Home Phone:
Cell Phone:
Fax:

Requested Program: (Only 1 per form)
Requested Performer:
Number of Programs:
Time(s) of Program:

Dates you would like to schedule:
1st Choice:
2nd Choice:
3rd Choice:

It may be helpful to view our CALENDAR to see if any of the dates are already booked. (If the date shows open on the calendar it is still no guarantee that it is available. Please contine to submit your request and one of our staff will contact you within 24 hrs.)

Location Information
Indoor Outdoor Stage Sound System & Microphone Available

Add any special requirements, requests or questions for the performer of DreamShapers.

To submit this form, please enter the characters you see in the image: *
	* = Required Fields