Name of Institution:

Address, City, State/Country, Zip Code:

Type of Instiution (Examples: Private, Community, Park, etc,):

Telephone Numbers
Work : Home :
--Fax :

E-mail Address:

General Information

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Kind of Dancing group Requested
(Children, Youngsters, Adults, Folklore or Jazz.)
Any other promotional or Information Requsted (Brochures, Video-tapes, Recomendations):
Date of Performance or Festival:
Lenghs of Performance requested:

Performing Facilities

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Stage : (Width and Depth), if no stage please mention Open Space (Width and Depth)
Seating Capacity:
Dressing Rooms (Yes or No):
Audio System : (Number of stage monitors, Tape deck , CD ):

Further notes or Requests: