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POC – Info
Company Info
Billing Address
Event Info
Event Location
Event Date / Time
GOH Info
Event – Audience Details
Performer Info
Packages / Fees / Expenses
Notes
Agreement
Admin Form
Chris Rose
2021-03-31T03:19:56+00:00
Admin Booking Form(Office Use Only):
Client Information:
Full Name:
*
Email:
*
What is your title?:
Work Phone & Extension #:
Cell Phone #:
*
Company Information:
Company - Name:
Company - Website:
Company - Phone #:
Billing - Address Information:
Billing - Address:
*
Billing - Address Line 2:
Billing - City:
*
Billing - State:
*
Billing - Zip:
*
Billing - Country:
Event Location - Information:
Event Location - Name:
Event Location - Address:
*
Event Location - Address Line 2:
Event Location - City:
*
Event Location - State:
*
Event Location - Zip:
*
Event Location - Country:
Event Location - Phone #:
Event Location - Room #/Name:
Is the event location easily found on GPS?
*
Event Date / Time - Information:
Event Date - Start (Date Long):
*
CRM - Event - Date - Start - (mm/dd/yyyy)
CRM - Event - Date - Start - (yyyy-mm-dd)
Event Date - End:
Event - Total # of Days:
Event - Start Time:
Event - End Time:
Show - Load In/ Check In Time:
Show - Start Time:
*
Show - End Time:
*
Show - Load Out/ Check Out Time:
Guest(s) of Honor - Information:
Guest of Honor - #1 - Name:
Guest of Honor - #1 - Gender:
Select Gender
Man
Woman
Multi
Guest of Honor - #1 - Age:
Guest of Honor - #1 - Birth Date (month/day):
Is the show a surprise for the guest of honor?
Select Option
Yes
No
N/A
Event - Audience Details:
Approx. # of Adults Attending:
Approx. Age of Adults Attending:
# of Adults / Age(s) Adults Attending:
Approx. # of Children Attending:
Approx. Age of Children Attending:
# of Children / Age range of Children Attending:
Approx. # of People Attending - Total:
*
Event Type:
*
Event Theme:
Audience Attire:
Select Option
Casual
Business Casual
Business
Formal / Black Tie
Costume / Theme
Other: See Comments
Meal Type:
Select Option
Cocktails / Hors d'oeuvres
Sit Down / Plated
Buffet
Dessert / Coffee
Other: See Comments
Message/Topic/Company Presentations:
Performer Information:
# of Performers for Event:
*
Performers Names:
*
CRM - Performer's Stage Name:
Chris Rose
Michael Fisher
Richard Steele
Robert Ray
Shawn Eric
CRM - Performer's Legal Name:
Christopher Rosenheim
Michael Fisher
Richard Hubatsek
Robert Farmer
Shawn Greer
Performer's Direct Cell Phone #:
Packages / Fees / Expenses:
Budget:
Performance Package Name:
*
Select Package
Close-Up Magic
Stage Magic
Close-Up And Stage Magic
Custom Magic
Custom Performance Package (Notes):
Package Price (Unit Price):
Package Quantity (# of Units):
*
Package - SubTotal:
Millage - Miles - One Way:
Millage - Miles Round Trip:
Millage - @$0.65 Per Mile - (Subtotal):
Misc. / Other Fees (Subtotal):
Misc. / Other Expenses (Notes):
Discount:
Performance Fee (Total):
Booking Fees:
*
100%
50%
$500
$250
$100
$0
Booking Fee Amount (Due):
Booking Fee Amount (Paid):
Booking Fee Amount (Paid Notes):
Remaining Balance (Minus Dep. Amt.):
Outstanding Balance (Paid):
Outstanding Balance (Paid Notes):
Outstanding Balance: (Total)
Budget Remaining:
Notes:
Source / Referred by: / How Did You Hear of Us?
Advertising Campaign - Tracking/Source:
Additional Comments: (FROM client)
Additional Comments: (TO client)
Additional Comments: (office use only)
CRM - Agreement:
I,
AGREE to the Terms & Conditions
Select all the lists you wish to subscribe to:
AZBM - 00 - 00 - Client List (All)
CRM - 00 - 00 - All Contacts - From 1SC
CRM - 00 - 00 - Contacts to Delete
CRM - 00 - 00 - Newsletter List
CRM - 00 - 01 - Prospect (All)
CRM - 00 - 02 - Prospect (Event Date - Future - Pending)
CRM - 00 - 03 - Prospect (Event Date - Future - Did NOT Book)
CRM - 00 - 04 - Prospect (Event Date - Past - Did NOT Book)
CRM - 00 - 05 - Client (Booked (Event Date - Future & Past - All))
CRM - 00 - 06 - Client (Booked (Event Date - Future ))
CRM - 00 - 07 - Client (Booked (Event Date - Past))
CRM - 01 - 00 - Prospect - Seeking Information (Web Form)
CRM - 01 - 01 - Prospect - Seeking Information (Master Form)
CRM - 01 - 02 - Prospect - Facts Sheet (Sent)
CRM - 01 - 03 - Prospect - Pricing Sheet (Sent)
CRM - 01 - 04 - Prospect - Both Facts & Pricing Sheet (Sent)
CRM - 02 - 00 - Prospect - Penciled In - Agreement / Fee Required (Credit Card)
CRM - 02 - 01 - Prospect - Penciled In - Agreement / Fee Required (Check)
CRM - 02 - 02 - Prospect - Penciled In - Agreement / Fee Not Required
CRM - 02 - 03 - Pending - Date Released
CRM - 03 - 01 - Client - Booked - Agreement / Fee Received (Credit Card)
CRM - 03 - 02 - Client - Booked - Agreement / Fee Received (Check)
CRM - 03 - 03 - Client - Booked - Agreement Received / Fee Not Required
CRM - 04 - 00 - Client - Booked - After Event - Thank You
CRM - 04 - 01 - Client - Booked - After Event - Final Invoice
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