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Request Clinic Support
(To be considered for assistance, this form must be received at least 60 days prior to event!)
Artist*
:
Event*
:
Event Location*
:
Venue Capacity
:
Date of Event (mm/dd/yyyy)*
:
Street
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City
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State
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Zip Code
:
Country
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Estimated attendance
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Percussionists in department
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Percussionists from other locations
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General audience
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Contact Person*
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School Name
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Phone
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Fax
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Email
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Artist fee
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Travel
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Lodging
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Food
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Shipping
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Advertising
:
Host contribution
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Other contributions
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Amount requested from Malletech
:
Is there a Malletech instrument on site or nearby for the artist to use?
:
Yes
No
*To be considered for assistance, this form must be received at least 60 days prior to event