BRIAN NHIRA MUSIC

Private or Public Event *

Public

Private

Primary Contacts Name *

(Event Organizer/ Decision Maker)

First Name

Last Name

Phone *

(###)

###

####

Open Invitation or Specific Date *

Open Invitation (no set event date)

Specific Date (enter event date below)

Event Date

Only if you have a specific date

MM

DD

YYYY

Event Start Time

What time is your event scheduled to start?

Hour

Minute

Second

AM PM

Is This A Ticketed Event? *

Yes

No

Name *

First Name

Last Name