"This form will provide all the information needed to judge what your requirements will be, and to set all those necessary requirements into motion".

First Name:	Middle Name:	Last Name:
Address:
City:	State: (US, Canada & Republic of the Philippines only) Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Canada/Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Republic of the Philippines U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Zip Code: Province Name:
Country: United States Canada Australia New Zealand United Kingdom Republic of the Philippines
Email Address:
Band Name:
All items must be carefully thought out. This will put in motion your Pre & Production activities. "Thank you for choosing Michael Burton Productions". "THIS BEGINS OUR QUESTIONNAIRE. PLEASE ANSWER EVERY QUESTION TO THE BEST OF YOUR ABILITY". I hereby certify that the information I am about to provide is true, and that I am acting as a representative of the Band.

Total Number in Your Entourage: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Female Count: 0 1 2 3 4 No Females	Male Count: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Can Two Bunk Per Room: 0 yes no

One Suite OK: 0 yes no

Special Accommodations If Any:

Radio/Television Interviews: 0 Radio/TV Station Visits Telephone Interviews Only Hotel Room Interviews Only Dressing Room Interviews Only
Explain "Here" Your Interview Ideas/Concerns, If Any:	Special Diets:

Each Individual With Your Group is Responsible For Their Own Incidental Charges, such as food, telephone, and all personal items, Is This Understood: 0 yes no

Before We Continue, If You Have Any Concerns, Use This Area To Address Them: