Booking Form

Please complete all required fields!

Your Contact Details

Full Name(*)

Please type your full name.

E-mail(*)

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Telephone Number

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How should we contact you?

E-mailPhone

Event Details

Which Line-Up(*)

Empire Blues Band

Empire-Acoustic

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Date of Event(*)

Please select a date when we should contact you.

Start Time

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End Time

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Venue Details

Name of Venue

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Address of Venue

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Number of Patrons (estimated)(*)

Please Select<50 - Less than 5050-100101-200>200 - More than 200Please tell us how big is your company.

Does the Venue Have a PA Installed?

YesNoInvalid Input

Does the Venue Have Lighting Installed?

YesNoInvalid Input

Is the stage Indoors or Outdoors

IndoorsOutdoorsInvalid Input

Is the Stage Covered?

YesNoInvalid Input

Additional Information

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Anti-spam Protection(*)

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