Greg Malinowski, Square Dance Caller

Booking Request Form

This form is NOT a contract. If your are interested in booking a dance or other affair, please fill out the form as completely as possible. I will respond to your request with availability and cost. I teach Square Dances both traditional and western, C/W Line & Couple dances, call a Contra dances and play recorded Music. You may use the PRINT command in your browser to make a copy of this form after you fill it out and BEFORE you submit it.

TELL ME ABOUT YOURSELF AND/OR ORGANIZATION

Club / Organization Name :
Your Name :
Your Email Address :
Your Regular Mail Address :
Street :
City : State : Zipcode :
Your Phone Number with Area Code xxx xxx-xxxx :
Your Alternate Phone Number with Area Code xxx xxx-xxxx :

TELL ME ABOUT THE EVENT

Type of Affair :
Choose the best description of the capabilities of the participants ?
Estimated Attendance :
Date Of The Dance : Month : Day : Year :
Location Of The Dance :
Street :
City : State : Zipcode :
Dance Time : Starts at : Ends at :
Will there be other entertainment between dances (e.g. a DJ) ? If you choose yes, please provide details in the Additional Information Box below. Please note that I DO NOT share my sound system with other entertainers due to the unique nature of my equipment:
No Yes Don't Know
I carry Round, Country/Western and Contra Dance music with me as well as a reasonable selection of popular tunes. Do you want me to provide entertainment during meals etc. (e.g. Background Music)? If you choose Yes, please provide details in the Additional Information Box below :
No Yes Don't Know
Have you booked me before ? No Yes Don't Know

ADDITIONAL INFORMATION :

Contact information:

Phone: NJ: (732) 229-9677; VT: (802) 362-3876; Cell: (732) 539-9569

Email: mail@greg-malinowski.com

You are visitor number:

01834

This form last revised: Feb. 23, 2006

Webmaster: webmaster@greg-malinowski.com