Besprekings:

info@lianiemay.com
079 149 3168

Publieke Liaison en algemene navrae:

Janine Snyders
072 6868 065
polsmedia@gmail.com

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NameName
Last NameLast Name
Position TitlePosition Title
Nameyour full name
Mobile NoMobile No
Additional mobile NoAdditional mobile No
Office NoOffice No
WebsiteWebsite
AddressAddress
StreetStreet
City / TownCity / Town
State / ProvinceState / Province
Postal codePostal code
CountryCountry
Name of requestName of request
VENUE NAMEVENUE NAME
DATE REQUESTED OF ARTISTDATE REQUESTED OF ARTIST
Total people expected?Total people expected?
BudgetBudget
Any other questions or requests or notes?Any other questions or requests or notes?
0 /
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