Name

Phone

Email

Would you like to be added to our mailing list? Yes:

Are you regularly available in the NY area? Yes:

If no, when are you planning to be in town?

Describe your act Stand-up
Sketch
Musical

List your comedy experience
Characters left

Would you be willing to bring people down to see your show? Yes:

If so, how many do you think is likely? Less than 5.
5-10.
More than 10.

Would you be interested in receiving a DVD of your performance? Yes:

Additional Comments:

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