Breaksteel Productions Home >> Dj Request Form

Last Updated:
January 4, 2005

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DJ Requesting:	Dj Breaksteel Mike Charles D-Monyk T.C. Mystical
DJ Offer:
Performance Time Requested:
Event Name:
Date Of Event:
Venue Name:
Venue Address:	Street Address City, State, Zip Format Please
Venue Phone:
Venu Fax:
Venue Capacity:
Venue Type:	Rave Club Other
Admission Price:
Confirmed Djs:
Pending Djs:
Promoters Name:
Production Company Name:
Production Company Address:	Address Of The Producing Company(s). (Please seperate multipule addresses if more than one company)
Promoters Home Number:
Promoters Work Number:
Promoters Cell Number:
Promoters Pager Number:
Promoters Email Address:
Additional Comments:	Any additional comments, questions or information

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