REQUEST A HOUSE SHOW We respect your privacy. Name First Name Last Name Email Phone (###) ### #### Date Option 1 MM DD YYYY Date Option 2 MM DD YYYY Date Option 3 MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Hosting Experience Have you hosted a house show before? Not yet A few times Quite a few times Sound Equipment I have sound equipment available. Please bring your own sound equipment. An acoustic/unplugged performance is preferred. Public vs. Private Would you like to invite folks from your neighborhood/community, or host an invite-only show? Public Private Funding Preference Flat Fee - If selected, what is your budget? Tickets - If selected, how many attendees (approx.) are likely? Comments (Funding Preference) Message Introduce yourself! What is your vision for this house show? Thanks for reaching out! Kelley will look over the information you’ve submitted and get back to you as soon as she can.