Book Mosaic

Requesting Organization's Information
Organization Name:*
Organization Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone
Name of Main Contact*
First Last
Title of Main Contact:
Cell Phone of Main Contact:*
Email of Main Contact*
Performance Preference*
General Performance Rate: $2500; Discounted Rate for Non-profit Organizations: $1500
Time frame of Performance*

Performance Information
Would you like to request a discounted performance?*
Would you like to request a complimentary performance?*
Mosaic offers a very limited amount of complimentary performances throughout the season.
Please state reason for discounted or complimentary performance.*
Date of Performance*
MM slash DD slash YYYY

We generally restrict out-of-town performances to Mondays, Fridays, Saturdays, and Sundays.
Time of Performance*

: Hours

Minutes

AM/PM
What time would you like the performers to arrive?

: Hours

Minutes

AM/PM

If not specified, our default arrival time is 30 mins prior to the performance time.
Performance Venue*
Approximate Audience Size
Do you have any specific costume requests?*
Costume Types
Length of Performance (Mosaic Singers requests only)
Has Mosaic ever performed for your organization before?
If so, when?
Event Type*
If other, what type of event is it?
Is the event open to the public? If open, is there a ticket price?*

Requesting Organization's Information