*Name of the Act:

*Number of performers:

*Genre of Act

Select Genre Ballroom Banda Big Band Bluegrass Blues Brazilian Cajun Caribbean Christmas Classical Country Flamenco Folk French Funk German Irish Jazz Klezmer Latin Mariachi Mexican Native Party Pop R&B Reggae Rock Solo Acts Tribute Variety Weddings World Other

*Contact Name:

*Address:

*City:

*State or Province:

select a state or province - - - - - - - - - - - - - UNITED STATES Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington West Virginia Wisconsin Wyoming - - - - - - - - - - - - - CANADA Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

*Zip:

*Phone:

*Email:

Website:

*Type of registration:

Paying Registration (act placed on website for $49.95 a year)