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Booking Request Form
Booking request for Maya Jupiter
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Email
*
Your email
Event Type
*
Class Visit
College / University Campus Visit
Conference / Festival
Consulting
Live Podcast Recording
Presentation / Performance
Other:
Required
Activity Type
*
Class Visit
Interview
Live Conversation / Interview
Live Podcast / Radio Recording
Lunch
Performance / show / concert
Performance with full band
Panel Moderation
Panel Participation
Presentation
Songwriting Workshop
Virtual
Other:
Required
Event Name
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Start Time
Time
:
AM
PM
Venue Name
Your answer
Venue City, State, Province
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Budget (Paid or Unpaid)
Your answer
Will also pay for travel (Flights, Train, Bus)
Will also pay for accomadation
Will also pay for ground transportation
Other:
Contact Information: Name, Email, Phone
Your answer
Additional Comments regarding your booking request
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