Client Name *

(Party Responsible for Payment)

First Name

Last Name

Client Phone *

(###)

###

####

Client Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Coordinator Name

(Person to contact the day of the event)

First Name

Last Name

Event Coordinator Mobile Phone

(The best number to contact the day of the event)

(###)

###

####

Date of Event *

MM

DD

YYYY

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Musician or DJ Start Time

(What time would you like the music to begin? I'll arrive about an hour prior to this time for set up)

Hour

Minute

Second

AM PM

Musician or DJ End Time

Hour

Minute

Second

AM PM

Will the Musician or DJ be outdoors? *

If your event is outdoors, please provide shade cover if at all possible. Having a plan in place to move the event indoors in case of rain is highly recommended.

Yes

No

Electronic Signature: By filling in your name below you are acknowledging that you understand and agree to the previously disclosed Musician Terms and Conditions from zachspruill.com/terms. *

First Name

Last Name