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):

... Fashion Print Work Commercial Print Work Fashion Show / Ramp Television Commercial Television Show Motion Picture Local Film Work Promotional @ Location(s) Convention / Trade Show Industrial Film Catalog Brochure ... Consumer Service Consumer Product Lingerie Underwear Swimwear ... Local Use Only Regional Use National Use Worldwide ... 18 & older Female Only 18 & older Male or Female 18 & older Male and Female Ages based on selections

  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...

	Job Location(s)
Street address
City, State, Postal Code
Special Instructions
Contact(s)
Contact phone(s)

*QuickBook Talent Bookings   -   PO Box 51   -   Seaside, OR 97138