Name *

First Name

Last Name

Phone *

(###)

###

####

Venue Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Requested Artists

Please select as many as you are interested in

Dante Bowe

Chandler Moore

Naomi Raine

Joe L Barnes

Brandon Lake

Aaron Moses

Event Start Date *

MM

DD

YYYY

Event End Date *

MM

DD

YYYY

Will your event be streamed online in any manner?* *

Yes

No

Will the event have ticketing or registration?

Yes

No

Will the event be private or open to the public? *

Private

Open to the Public

I agree that this Event Request Form is used by MCM for the purpose of coordinating agendas. All expenses will be evaluated for the event in question in accordance with the information provided in this form. Submission of this form is only a request and DOES NOT CONFIRM the participation of MCM in said event. Correct information is required to process this request. After review, a MCM representative will make contact with you. *

Agree

I agree that, subject to the needs of the request, each event may require any or all (but not limited to) of the following: deposit, fee, travel expenses, lodging, and meals. In case of confirmation, more details will be provided and included in contracts, commitment letters, and technical riders. *

Agree

I agree that this event will NOT be recorded in audio or video for sale or distribution without the consent and written permission of Maverick City Music. *

Agree