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Coffeeville Co. Musician / Artist Application
Perform Live at our Cafes!
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Applicant's Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone number
*
Your answer
Performer Stage Name or Group Name
*
Your answer
Please describe what type of performance do you offer?
*
Music, painting, spoken word, magic, etc.
Your answer
If you are a musician, what genres best describe your music?
Your answer
How many performers are in your act?
*
1
2
3
4
5+
Required
Website/Social Media
*
Portfolio, performances, or sample links
Your answer
Portfolio, performances, or samples links
Your answer
Portfolio, performances, or samples links
Your answer
What is your hourly rate?
Your answer
Today's Date
*
MM
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DD
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YYYY
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