SZELES BOOKING INFORMATION

To help us provide you with the most appropriate price for your event, please complete and submit this short form with as much information as possible. If you have specific questions, telephone calls are always welcomed.

The following restrictions apply to this offer:

1. Your entertainment budget for any single performance must be at least $1,500.00 per event.

2. You must expect to make a purchase decision/commitment for your entertainment within the next 90 days.
3. The event must be occurring within the next 12 months. (Call us if you need an exception.)
4. A valid contact telephone number and e-mail address are required. If you do not have e-mail, call us.
5. SZELES reserves the right NOT provide information to any request that he deems questionable.

If you prefer, telephone us at 650-355-1637. Thank you.

First Name

Last Name

Title

Organization

Street Address(to send information)

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

FAX

E-mail

Type of Event Planned:

How did you hear about SZELES?:

If Other, Please Explain:

What is your entertainment Budget?:

Location of event:

Occasion/purpose of your event(s):

Attendance estimate:

What kind of show would you like:

G – Very clean. Suitable for family or conservative groups. No strong language and little or no sexual dialogue or situations.

PG – Mild, adult-oriented subject matter and/or language used in moderation or infrequently.

R – Mature adult subject matter and/or language used liberally. Night-club appropriate.

Enter the date of the event :

dd/mm/yy

General Information:

Any Other Types of Entertainment/Seminars Being Considered?

Previous Types of Entertainment Booked

Have You Ever Hired A Stage Hypnotist In The Past?

Yes No

If Yes, Who Have You Used?

What Did You Like Or Dislike About Their Show?

Would You Hire Them Again?

Yes No

Are you a entertainment agency?

Yes No

Comments/Further Explanation/Additional Information/Questions

*(Optional) Did the flying monkeys in the Wizard of Oz scare you?
Yes No

If you find any errors, click on the Reset button. The entire form will be cleared,then re-enter the corrected information.

When you are satisfied, click on the Submit button to send the booking inquiry to Szeles.

Revised: August 23rd, 2004

First Name
Last Name
Title
Organization
Street Address(to send information)
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail