Agency Quote Form

Name *

First

Last

Company name (if corporate, business, or venue owned event)

Email *

Contact phone number *

Type of event or venue *

Public or private event/booking

Name of venue

Address of venue *

Address Line 1

City

State

Estimated number of guests *

Budget

Date of event/booking

Start time of event/booking *

End time of event/booking *

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 *