Agency Quote Form

Name *

First

Last

Email *

How many guests? *

Type of event or venue *

Address of event/venue *

Address Line 1

City

State

What is your budget? (in dollars)

Selected Value: 0

Date of event *

Start time of event *

End time of event *

Contact phone number *

Length of time you wish talent to play *

Where will talent set up equipment *

Type of talent sought *

Preferred musical genre

Name of talent sought

You may have a specific person/group at Melodique in mind

Song requests (please also state artist name)

Is there anything else you’d like us to know?

I consent to receiving information about Melodique *