Ensemble Booking Form :: Midwest Young Artists

Contact Information

Contact Name:

Address:

City, State, Zip:

Home Phone:

Work Phone:

E-mail:

Fax:

Event Information

Event:

Date:

Time:

Location:

Directions:

Description of Performance
Space (include
dimensions of room):

Details of your
Expectations:

Payment Options

I agree to pay the musicians on the day of the performance, cash or checks payable to Midwest Young Artists. A $100 deposit to MYA is required when you return this form; this can be credited toward the amount due on the performance day.

Credit Card

I wish to pay by credit card

After submitting your entry form, you will be returned to the Hire an Ensemble page to submit a secure on-line credit card payment for the $100 deposit.

Check

I wish to pay by check

Please make $100 check payable to Midwest Young Artists and mail directly to:

878 Lyster Road
Highwood, IL 60040

Submit

Once you have verified that all the above information is complete and accurate, please click the button below.