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JMCA WEB PAGE SUBMISSION/PUBLICITY FORM We would like to list your performance on our Web site. Please complete this form with as much detail as possible. Include photos if any are available. Completion of this form is mandatory for web page submission. Feel free to attach any additional PR information that you feel would aid in understanding your group or your performance. Pleases note that any additional PR information is not a substitute for this form. General Information Performance Name: _________________________________________________________________ Presenting Organization: _____________________________________________________________ Contact Name: ____________________________________Phone: __________________________ Email: ________________________________Web Address (if any): ___________________________ Date(s)/Time(s) of Performance(s): ______________________________________________________ _________________________________________________________________________________ Description of performance, history of group (1-2 short paragraph summary): _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Adult: ____________________ Child: ____________________ (ages _____ to_____ ) Student: ______________________ Senior: _____________________ (over the age of: ____ ) CBON form submitted? (alternate info if not): _______________________________________________ |