Text Box: Performance Date: _________________ Performance Times: Setup by: ___________ Start: _______ Finish: ______ DJ (option) Finish Time _________ Dress: _______________ (informal / smart casual / smart / black tie etc..) Fee: ________ Payment Method: 20% deposit to confirm booking. Tick as required: Balance in cash on the night Check at least 14 days prior to performance. (To : “Eddie Campbell”) (Note: 10% surcharge made for late fees paid by check on the performance date) Event: ______________________________ (e.g, Night Club, Festival, Concert, etc. ) Venue: _______________________________ Address: _______________________________ _______________________________Post code:_____________ Venue contact number _______________________________ Your Contact number and address_______________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Email ___________________________________________________ Would you like to be included on our mailing list? Yes/No Performers: Eddie Campbell (Band Size)_______ Others: Extra Vocalist DJ Guitar Horn Section Performance: 3 x 45 minutes, 2 x 1hr or other _____ (approx) Program: Country & Western – Country Folk – Country Favorites - Music Portfolio Songs– (circle preferences) Any special Requests to be included: ___________________________________________ Approximate No. of Guests expected _________________________________ Refreshments etc: Band will require light refreshments / drinks during their interval (A separate room for the musicians to store equipment / change is appreciated) Other: It is the responsibility of the client to ensure that any venue is suitably licensed for the performance of live music. Client name: Signed: Date: Band Leader: Signed: Date: P.O. Box 22214 Nashville, Tennessee, 37202 mailto:EdwardC615@aol.com?subject=Interest in Booking a Performance of Eddie Campbell www.EddieCampbell.com

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