5 – 6 November 2022

Performance Form

Performance Name *

Performance Typeeg "rock band" or "acoustic duo"0 / 15

Length of performance (in minutes) *Usually 30-40 minutes, but extra time may be allotted in certain circumstances

Description of Act *For the MC to read out word-for-word as your introduction.

Contact Name *

Phone *

Email Address *

Your social media links

Your website

Please upload some images that we can use to promote your performance.

Drag and Drop (or) Choose Files

Number of participating performers *

Do you require Stage Seats? *YesNo

Stage seats required *Do you require stage seating? If so, how many seats required?

Do your require use of the Change Tent/Green Room? *YesNo

Details of sound equipment required ** A bass amplifier and drum-kit will be available if required

Other comments (eg preferred day/time etc..)

YesNo

Fee required

AUD

If you require a fee, please indicate the amount.

YesNo

ABN *

Upload a completed and signed ATO Statement by a Supplier *

Drag and Drop (or) Choose Files

Scroll down the page to just below this form to access an editable / downloadable version of the ATO SBS form.

BSB

Account Number

Contact Name During the event *

Mobile Number *Mobile contact number during the event

Do you have public liability insuranceyesno

I confirm that I have read, understood and agree to all Terms and Conditions

Please do not fill in this field.

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This is a preview of how this form will appear on your website.