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Title	Mr Mrs Miss
Name
Surname
Company
Address
Town/City
County
Post Code
Telephone		Fax
Mobile		e-mail

EVENT DETAILS
Name of the event
Is this an established or new event?
Description of Event
Audience Size
Audience Accommodation
Start Date of Event
How long is the event?
Would you like the stage set up by any particular time/date for rigging of sound and lights etc?
Is there a deadline for removing equipment from the site after the event?

VENUE & ACCESS DETAILS
Type of Venue
Venue Location
Preferred Load In
Preferred Load Out

Is there access for large trucks to the stage location?
Are there limitations on access time eg Road Closures etc?

STAGE REQUIREMENTS
Size Required if known
Stage to be erected
Facilities Required: (Please click all that apply)

Branding	Front of House	Loading Bay	Monitor Areas
Stage Risers	Stair Access	Wheelchair Ramp	White Lighting

Rigging Requirements: (Please click all that apply)
Flown Lighting	Flown Screen	Flown PA	Set/Scenery	Stacked Screen
Stacked PA

Number & Type of performers
How did you hear of SRC?
Additional Information/Comments

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