Name * First Name Last Name Organization Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Venue Name Venue Address Address 1 Address 2 City State/Province Zip/Postal Code Country Venue Seating Capacity What type of performance are you interested in? GCQ SOLO MULTI-ARTIST CHURCH GCQ & BAND Preferred Date MM DD YYYY Time Hour Minute Second AM PM How did you hear about us? Financial Offer Amount Is this a ticketed event? YES NO Do you have financial support to fund this event? YES NO Have you promoted a concert before? YES NO Was the previous concert ticketed? YES NO Notes Thank you!