JimShoes - Services

Talent Request Form

Requested Date(s):	*
Alternate Dates
Check all that apply	*	Artist Performance/Appearance Personal Appearance Speaking Engagement

Name of Organization	*
Contact Person	*
Email
Phone	*
Fax
Alternate Contact
Phone

Audience (Profile)	*
Estimated # of Attendees	*
Event/Class Description	*
Event/Class Duration (for talent)
Offer (fee)	*
Location	*
Address	*
City/State/Zip	*

Will the display and sale of materials be permitted?	*	YES NO
Address to ship materials

Thank you,

JimShoes Entertainment

Questions? Contact us