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Contact Information

Full Name	*
Contact Phone	*
E-mail address	*
Please Re-enter E-mail address	*

Location of Event

City	*
State	*
Country	*

Services Requested

Are you interested in working with our music team?
If so, please check off the services you would like:

Latin Jazz Band (Ritmo de Masacote)
Free-Lance Pianist (Joel Massicot)

Are you interested in working with our dance team?
If so, please check off the services you would like:

Dance Performance(s)
Workshop(s)
Social Dancing

Are you interested in working with the multimedia team?
If so, please check off the services you would like:

Photography
Marketing Campaign
Web Design
Graphic Design

Event Information

What is the budget for this event?

What type of event is it?

Corporate Function
Congress
Festival
Wedding
Other

Please list event details and special requests.

Optional, But Appreciated, Information

yes no Would you like to be part of Masacote Entertainment's e-mail newsletter?  It is sent out weekly with the latest news, website updates, classes, upcoming shows, and more! (We will not give away or sell your address for any reason.)

How did you hear about us?
Masacote Company
Masacote Website
Masacote Newsletter
Other Website
Other Mailing List
Flyer
Internet Search
Personal Reference/Friend
Other

 

Please verify that all information is correct before pressing submit.