NAME/COMPANY


Your name/last name
Company/organization
Address
City State Zip
Your phone number
Any time good call to you?
Your email address
Your website address

Should I put your website advertising about your event on my website?
yes no

   

WHAT'S GOING ON EVENT?


Please describe, what is the type of event?
When and time?
Stage: outside or inside?
what type on floor, on grass, or on stage?
Expect how long will Pinky the Juggler performance or Pinky's VRS Storytelling?
   

WHAT'S LOOK LIKE YOUR AUDIENCE


Deaf Hearing Mix Deaf/Hearing
If unknow american sign language (sorry, I don't have provide voice)
How many adults and young?
What is their age?

 

ANY COMMENTS?


What do you need anything Pinky the Juggler or Pinky's VRS Story to do?

 

 


Phone number:
800-538-9881 ext 32661

or
E-mail: info@pinkythejuggler.com

 

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