Booking Request

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Booking Request

This form is for clients who have already confirmed a date and time via email or telephone. If you have not done so yet, please contact us first to make sure your date is available.

After you fill out this booking request, we will contact you via email with your agreement or any questions. If you have any questions, please contact us at (773) 837-0341 or chicago@cultureshockdance.org

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Are you a new or returning client?

I am a new client

I am a returning client

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What service would you like to book?

School Assembly

Library Performance

Corporate Performance

Private Performance

Teaching/Instruction Session

Otro:

Will Your Event Be? *

In Person

Live Virtual

Pre-Recorded Virtual

Otro:

Event Name:

Purchaser Name: *

Purchaser Phone Number: *

Purchaser E-mail:

Purchaser Address:

Event Address/Location (Name of Venue as well):

Event Date:

AAAA

Start Time Services Needed:

Hora

End Time Services Needed:

Hora

Any Additional Questions or Comments:

Enviar

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