Cultural IDP Application

    APPLICANT

    Corporate/CommercialNon Profit OrganizationOther
    If other please specify*:

    GROUP NAME*:

    CHOREOGRAPHER*:

    HOME PHONE*:

    CELLPHONE*:

    Fax:

    EMAIL*

    ADDESSS*:

    CITY*:

    STATE*:

    ZIP*:

    MANAGER*:

    PHONE*:

    SONG NAME*:

    MOVIE NAME*:

    TIME OF THE ITEM*:

    (NOT ALLOWED MORE THAN 6 MINUTES)

    BRIEF DESCRIPTION OF THE ITEM*:

    SPECIAL REQUESTS*:

    DEADLINE TO SEND APPLICATION BY EMAIL TO [email protected] BY JULY 31, 2020 ALONG WITH CD FOR THE PERFORMANCE SONG

    Participant’s List

    Name of Participants (Alphabetical Order-By Last Name):

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