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1040 Matley Lane, #8
Reno, NV 89502
Telephone (775)324-1922
Fax (775)324-2662


Concepts West Agency
New Act Submission Form

If you have not visited our website, please click on the Concepts West Agency Banner above
now or after you finish entering your information. You can also navigate our website through
the links at the bottom of this page.

Fill out this form to give us information about your act.
NOTE: Use your tab key or mouse to navigate through the fields below. If your text is longer
than the field, just keep typing and your text will scroll and be accepted.

        NAME OF ACT 

DATE

CLASS
STYLE


       

 <--Specify Size i.e.  4pc, 5pc Trio, Magician,etc.
<--Specify Style i.e.  Classic Rock , Blues, etc.

 
  LEADER'S NAME Enter First Name

Enter Last Name
LEADER'S INSTRUMENT 
STREET ADDRESS  or   P.O. BOX    
CITY    
STATE    
ZIP CODE  
                           COUNTRY
PHONE    
EMAIL ADDRESS    
DESCRIPTION
HOW DID YOU FIND OUR WEBSITE?    

Enter any  Leave Us A Note or specific information here:


 

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About Concepts West
  Main Menu | Contact Information | Home
Clowns. | Country Acts | Comedy | Entertainment |  Jazz
Oldies/Nostalgia    Magic and Illusions
Specialty Acts |  Tributes- Impersonators  | R&B and BluesActs  
  Special Event Services | Video Productions |


Write to us at:
cwareno@aol.com birdemail.gif (4273 bytes)

                         Design and Code (C )Concepts West Agency 1998
All identia (C) 1998 Concepts West Agency