Talent Request Form

Organization Name(required)

Name of Contact Person(required)

Does your organization have 501 (c)(3) nonprofit status? (required)

Phone Number(required)

Email(required)

Name of Event

Event Date & Time(required)

Event Location Phone Number

Event details (Please include names of talent desired to attend, what is the talent expected to do)

How many poeple do you expect to attend?

Has our talent been involved in this event previously? If so, who and when?

Will any other local media be involved in this event? If so, list the media name(s)

Block of time needed for talent

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