Traveling Hips Performance Contract


Please fill out the below contract information in order to book a performance with us...

Please provide the following Contact Information:

                Name 
  Street Address 
 Address (cont.) 
                   City 
  State/Province 
Zip/Postal Code 
              	Phone 
                E-mail 

Please provide the following Event Information:

       Type of Event 
       Date of Event 
Performance Time 
       Event Address 
     Address (cont.) 
             Event City 
            Event State 
               Event Zip 
          Event Phone 
       Event Contact 
                    E-mail 
                      URL 
Please give detailed directions to the event location:  

Performance Package

Please select the type of performance you wish to book: 

 

If there is any additional information needed or if you have any questions, please address them here: 

 

Submitting this form constitutes agreement to the attached terms:

Attached Terms

Thank you for choosing Traveling Hips Belly Dance! We have just a few requirements and terms in order to make your performance as safe and enjoyable as possible.


Copyright © 2008 [Traveling Hips Belly Dance Troupe]. All rights reserved.
Revised: March 03, 2008