Winter Magic 2010

Do you want to perform at Winter Magic this year? Please complete the form below:

First Name *

Surname *

Performance Name

Email *

Address

Do you have public liability insurance?

Click for YES Click For No

Policy Number

Expiry Date

Performance
Please describe your performance including duration of set. *

Performer Details
Please list the names and number of people involved in your performance.

Do you have minors in your performance (under 18 years of age)?

Click for YES Click For No

Special Needs

Stage Requirements
Please provide details of any sound or stage requirements that relate to your performance: (attach document if necessary)

Is your performance online?
If you have a web address / myspace sample of your performance, please add the address here.

ABN (please enter your Australian Business Number if you have one)

Phone number

If you require any further information please email perform@wintermagic.com.au

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