Potential Entertainers

Potential Entertainer Application

Your Details

First Name: (Required)

Surname: (Required)

Business Name:

Address:

City:

State:

Postcode:

Phone Number:

Mobile Number:

Email: (Required)

Website:

Business Status New Business Established Business

Age of Business:

Type of Business:

Is this your core business? Yes No

Type of Entertainment:

Years Performing:

Target Market:

Describe your skills & services:

Your Availability:

Special Requirements:

Meeting with a Marina Quays
Market Villiage representative?
(At a time to suit) Yes No

If yes please nominate preferred dates/times:

How did you hear about Marina Keys Market Villiage?

General Comments/Questions: