PRINT OUT FORM & FILL IN - MAILING ADDRESS BELOW
EKLECTRA Presents Records. Inc.
PIPER'S PICS TV SHOW
NATIONAL TALENT SHOWCASE
SHOWCASE REGISTRATION
CONTACT NAME: _______________________________PHONE NO.____________________________________________
ADDRESS:______________________________________________________E:Mail*______________________________________
ACT NAME:_____________________________________________________________________________________________________
ACT TYPE:_________________________ # IN GROUP___________AGE(S)_______________________________________
NAMES:___________________________________________________________________________________________________
__________________________________________________________________________________________________________
BRIEF DESCRIPTION:______________________________________________________________________________________________
__________________________________________________________________________________________________________
Submitted: Bio____ Photo____ CD____ DVD___ Press Kit____
Registration fee must accompany form to reserve performance space
$25 solo performer/model
$50 groups up to 5
$100 6 or more members in group
EKLECTRA Presents Records, Inc.
P. O. Box 609040
Orlando, FL 32860-9040
You will receive a confirmation notice in the e-mail address provided or a phone call.
http//Eklectra.us StarNewzz@aol.com
Questions: Call now 321-948-6282
*Donations support The Save The Arts Foundation - Talent Showcases of America*
