Booking | Reggie Hines

Booking Request Form

First Name

Last Name

Phone Number

Organization Name/Company Name

Name of venue event to be held

Venue Address

Region/State/Province

City

Postal / Zip code

Venue Capacity

Number of expected guest

Budget for booking a live performance

If other, please describe the event here.

Date of the event

Event Start Time

Event End Time

Live performance proposed start time

How long is the live performance per set

How many sets of live performance

How many dressing rooms are available?

Message/Comments

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CEO

CFO