Please provide the
following information to assist us with your job.
FAX to Atlanta: 1.678.318.1702
- press start to send. or email to
listedtalent@qbnw.com
Subject Bookings
Your
name (1st Contact)
2nd Contact
person
Your Company Name
Product or hiring company
Work Phone
Home Phone
FAX
E-mail
If talent not paid directly:
OPTIONAL BILLING
INFORMATION:
Purchase order #
Responsible Company
Other Info
Click only one that applies in each box (or leave blank): Please provide the account #'s of talent
selections - found in each listing. First Name | State | Acct # - You may leave blank if pre-booked. ERASE EXAMPLE...
