USA TALENT AGENCY
is a division of Albrecht Entertainment Service.
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Name:
Company Name:
Company Address:
Company City:
Company State:
Company Zip:
Personal Address:
Personal City:
Personal State:
Personal Zip:
Email Address:
Work Phone:
Fax:
Alternate Work Phone:
Home Phone:
Cell Phone:
Date of your event?
/
/
(mm/dd/yyyy)
Entertainment should last:
Hrs.
Event Start Time:
(add AM or PM)
Event End Time:
(add AM or PM)
Event Address:
Event City:
Event State:
Event Zip Code:
What type of Event:
Event Venue:
Number expected at Event:
Entertainment will:
Control Event /
Not Control
Payment will be made by:
Additional information about your event that will be helpful in allowing us to provide professional entertainment services?
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(866) Time4Us
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TALENT AGENCY
