Name of the group:
Name of leader:
Contact person:
Address:
Phone home:
Phone job:
Fax:
E-mail:
WWW:

Brief information about your town, area:


Brief information about your group:


Music instruments (which and how many):


Your costumes (description for men, women):


Your technical request:


Short description of your program:


Number of all participans (max. number 30 persons):

Boys:		Girls:		Men:		Women:
Dancers:		Musicians:		Drivers:		Attendants: