TRIBUTE REGISTRATION FORM ACT NAME PRICE FOR PERFORMANCE £ A TRIBUTE TO TOTAL PERFORMANCE TIMES ie. 1 x 45 mins CONTACT NAME MAXIMUM TRAVELLING DISTANCE CONTACT ADDRESS ADDITIONAL INFORMATION TELEPHONE   Do you supply your own PA: YES NO MOBILE   Do you supply Stage Lighting: YES NO EMAIL No. OF PERFORMERS / CREW   WEB SITE

TEL: 0845 126 0557 - DOUBLE.ACTS - 94 NESS ROAD - BURWELL - CAMBS - CB5 0DA

COMPLETING THIS FORM DOES NOT CONSTITUTE AN EXCLUSIVE AGREEMENT OR CONTRACT.