*Contact Name:
*Contact Email:
*Office Phone:
Mobile Phone:
Event Name:
Event Type (Trade Show, Black Tie Gala, Fundraiser, Golf Outing, etc.):
*Event Date:
*Event Time:
/ / (mm/dd/yy)
Event Sponsors
Event Location:
Address 1:
Address 2:
City:
State:
Zip:
*Venue (Ballroom, Suite, Floor, etc.):
*Estimated Number of Attendees:
*Attire:
Will transportation be provided?:
Other Accommodations?:
Yes No
Talent(s) Requested
1st Choice :
2nd Choice
3rd Choice
*Select one and include dollar amount:
Proposed Budget Honorarium Hourly Fee
*$ (e.g. $1,500)
*Length of Appearance:
*Talent Arrival Time:
*Talent Departure Time:
Duties Performed (check all that apply):
Sign Autographs Take Photos Emcee Keynote* Deliver Speech* Opening Remarks Closing Remarks Auctioneer
Attend Reception Co-Chair Play Golf Film Commercial Record Commercial Film/Record PSA Other
*Please provide the following information
Completing this form does not guarantee that your request will be fulfilled. THE MINIMUM FEE TO SECURE TALENT IS $1,500.
Thank you for allowing Darrell Green Enterprises the opportunity to serve your talent needs. We hope we are able to assist you and will acknowledge your request shortly. Although we strive to process and grant all requests quickly, some requests may require several weeks for a reply. A 30% non-refundable deposit of the total amount due is required if your event is scheduled.
