YOUR ADDRESS:

YOUR PHONE NUMBER:

YOUR E-MAIL ADDRESS:

HAVE YOU SEEN OUR SHOW? YES NO

WHERE DID YOU SEE US?

WHEN?

DID YOU LIKE OUR SHOW? YES NO

WHY?

WHAT DID YOU LIKE BEST ABOUT THE SHOW?

ANY SUGGESTIONS FOR IMPROVEMENT?

WHICH SONG WAS YOUR FAVORITE?

WHY?

IF WE DID ANOTHER SHOW,
WHAT WOULD YOU WANT IT TO BE ABOUT?

WHAT MUSIC STYLES WOULD YOU LIKE TO SEE US DO?
Broadway
Standard
Classical
Jazz
Country
Folk
Rock
Easy Listening
Other - Please specify:

WHAT SONGS WOULD YOU LIKE TO HEAR?

DO YOU REPRESENT AN ORGANIZATION? YES NO

IF SO, WHAT KIND?
Library
Dinner Theater
Fund Raiser
Church or Temple
Other

WHAT IS YOUR ORGANIZATION'S NAME?

ADDRESS?

PHONE NUMBER?

NAME OF CONTACT PERSON (IF DIFFERENT FROM YOURS)?

E-MAIL FOR ORGANIZATION OR CONTACT PERSON?

WOULD YOU LIKE TO BE ON OUR MAILING LIST? YES NO

WOULD YOU LIKE TO SEE OUR VIDEO TAPE? YES NO

HOW DID YOU HEAR ABOUT US?

DOES YOUR "ORGANIZATION" HAVE A PIANO WE CAN USE FOR OUR PERFORMANCE? YES NO

WHAT PERFORMANCE DATES ARE AVAILABLE FOR US?
Choice # 1: Month: Day: Year: Time:

Choice # 2: Month: Day: Year: Time:

Choice # 3: Month: Day: Year: Time:

Choice # 4: Month: Day: Year: Time:

OUR RATES ARE NEGOTIABLE. PLEASE STATE THE SALARY RANGE YOU WOULD BE WILLING TO PAY: $ through $

ADDITIONAL COMMENTS:

Please click on submit to send this form to our E-mail address.

Thank you for taking the time to answer our questionnaire!