TEDDY BERGE BOOKING
PRINTOUT AND MAIL TO:

Teddy Berge Enterprises
P.O. Box 21255
Keizer, Oregon 97303
   
TODAY'S DATE REQUESTED DATES

NAME     TITLE

ORGANIZATION

STREET ADDRESS

CITY STATE    ZIP

PHONE #

EMAIL ADDRESS

FACILITY    SEATING

STREET ADDRESS 

CITY STATE    ZIP

DATE OF SHOW_____________________________________
 
TYPE OF SHOW: (CIRCLE ONE)
PRIVATE EVENT   FAIR
CASINO   FESTIVAL
CLUB   OTHER
CONCERT    

LENGTH OF SHOW_____________________________________

BUDGET (CIRCLE ONE)
I HAVE A BUDGET IN MIND   I WOULD LIKE A PRICE QUOTE


PLEASE STATE YOUR PURPOSE  AND EXPECTATIONS  BELOW
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