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Specializing in affordable Web Design for bands & performers

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Band Web Site - Input Form

Required entries have an asterisk *

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Template Preference:* (From Sample Pages)   B1    B2    B3    B4

Save $10 yr on your site by authorizing 1 Banner at the bottom of your page

Banner Preference:*   I authorize one banner at the bottom of my website $79.00 yr.

                                                                          I do not want any banners on my website.               $89.00 yr.

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BAND NAME: * 

                                     Preferred Domain Name  -  http://performers-r-us.com/band/

                                   ie: "apexjazzband" "apex"  "apexjazz" etc. - If not filled out I will use your Band name.

 

Band Information

Styles Played: *    Select all that apply (Hold down "Ctl" key for multiple choices).

                              

                       Number of Pieces * (ie: 6 pc + vocals or 4 to 7 pieces)   

                               

Experience / Summary

(Max 960 Characters (12 Lines) - Add more info in General Info block)

Availability

City *    State / Prov*     Country *

Seeking Full Time Employment:  YES      NO

               Casual / Part time gigs:  YES      NO

         Are you willing to travel?    YES      NO

 

 Links:  **Optional    Provide up to 2 sites you would like to link to.

Description:    

Description:    

 

Contact Information

FIRST NAME: *       LAST NAME:

                         EMAIL:*      PHONE:                         FAX:   

   Address is optional:  (If you wish to include it - add it to your General Information).

 

General Information

  Use this form to expand on your experience, add review / testimonial data, or to define what your gig preferences are .... anything you want to add can go here.

Maximum - (30 lines - 2400 characters)

Please format data as you want it to appear on your web page and check for spelling errors.

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About Performers-R-Us.Com  -  Band & Musician Samples   -  Sign Up for $79.00 Website  -  Make Payment   -  Links

copyright@2003 - Dynamic Web Design

02 Oct 2008