UNCW Logo Music Department


Music Performance Request

Contact Information
First Name  
Middle Name
Last Name  
Street 1
Street 2
Street 3
City
State
Zip  
Phone Number -    
Cell Phone -    
Email  
Secondary Email (optional)  
UNCW Dept
 
Event Information
Date of Event
Event Type
Event Title(if applicable)
Venue Location
Street 1
Street 2
Street 3
Event City
Event State
Event Zip  
Event Coordinator
Event Notes (optional)
 
Requesting Artist Information
Time Needed
Ensemble Type
Number of Musicians  
Music Genre Preferred
Attire Needed
Additional Information (optional)
 
Payment Informationation
Budget for Music  
Payment Type