Submit an Appearance Request form for

Bless-Ed 

We created this special form to get a clear understanding of your specific needs.  Once you have an idea of what it is you're looking for please feel free to fill out the following form.   The Business Manager and/or Booking Agent for Bless-Ed will respond to your inquiry Promptly!

Name *
Prefix
First *
Last *
Suffix
MI
Middle
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Day Phone # *

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Cell Phone #

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Email Address *
Date Of Your Event
Name Of Your Event
Venue
Venue Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Time Of Event
Budget For Event
Number Of Attendees
Additional Comments:
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Thank You!

Bless-Ed

Brian Staley, Manager

(803) 508-2992

 

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