Booking Questionnaire

Please fill out this questionnaire only if you have already spoken to our booking coordinator and confirmed the availability of your chosen date. 

Note: Your booking remains tentative until we receive the questionnaire and the retainer. If the questionnaire and retainer is not returned within 30 days of the tentative booking, you may forfeit you date (s). 


Contact Information: 

First name
Last name
Title
Organization
 Address  
City
State
Zip
Country
Work Phone
Fax
Home Phone  
E-mail

Event Information

Date of Event
 
Time of Event AM or PM?

 

Time presentation is Scheduled
 
Time allotted for presentation 
 
Purpose of Event/s Please list info for each event

Type of event
Predominant age group
Dress code
   
Expected Attendance
  
What thoughts would you like the presenter to leave your audience with?
Location Address of each Event (if same as contact address, please put "as above"
If flying, best airport

How far is the event location from the airport

RETAINER REQUIRED

We require a 50% non refundable retainer of the event fee to complete your booking. 

Please make check payable to:
 
 Rick's World Of Illusion
 PO Box 93238
Lubbock, Tx 79493-3238.

Please include your name, and a copy of this questionnaire with your payment. Thank You!

R.W.I. contract.pdf

Please hit "submit" just once, you will be forwarded 
to the confirmation page once the information 
has been sent. This process may 
take up to a minute. Thank you for your patience!

 
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