Please fill out this entire form to the best of your ability.
Fields marked () must be completed.

If you need more information than this form allows for, you can call Mike at 352-682-4477,
or Ricky at 352-665-6255, or you can email us at gigmaster@flyinggypsiesband.com

Contact Information
Your Name:
Business Name (if applicable):
E-Mail Address:
Primary Phone Number (352-123-4567):
Secondary Phone Number (352-123-4567):
Gig Information
Which band member referred you?	None Michael Burke Frank Ogborn Patti Flewelling Henry Raimato Frank Varosi Rick Brawner
If None. How did you hear about us?
Type of Gig (Wedding, Party, etc..):
Start Time of Gig (5:00 pm):
Number of sets (A set is 40 minutes of music followed by a 20 minute break):
Date of Gig (MM/DD/YYYY):
Location of Gig (City, State):
Additional Gig Information: (i.e. - specific place of event, questions, special requests, etc.)

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