Life GPA Client Form

PLEASE COMPLETE THE FORM BELOW TO REQUEST SHAMIL RODRIGUEZ TO BE A PART OF YOUR EVENT.

 

Organization Type *

Projected Budget for Securing Services *

Planned Number of People Attending *

Will This Event Be Open to the Public? *

Will Tickets Be Sold For This Event? - Ticket sales must be approved by Life GPA. *

Do You Intend to Record or Live Stream This Event? *

Can Products Be Sold at This Event? *

 

LIFE GPA does not hold dates for non-committal inquiries. LIFE GPA will TEMPORARILY hold dates once a FULLY executed agreement has been reached as evidenced by a signed contract by all parties. Dates are NOT reserved until you have received confirmation that your deposit has been received.

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