ORGANIZATION_______________________________________________________________
TYPE(PLEASE CHECK)___BUSINESS___CHARITY___CHURCH___CIVIC ___SCHOOL ___OTHER
ADDRESS_____________________________________
CITY___________________STATE_____ZIP________
TELEPHONE( ___) ________________________________
FAX ________________________________
CONTACT NAME________________________________ CONTACT TELEPHONE(__) ________________
E-MAIL__________________________________
ON-SITE CONTACT NAME & TELEPHONE (Cell Phone)______________________________________________
EVENT NAME/TYPE OF EVENT_______________________________________________________________
EVENT DATE _____________________ EVENT TIME - FROM:________ UNTIL:_______
EVENT LOCATION _______________________________________________________________
ADDRESS_____________________________________
CITY___________________STATE_____ZIP________
DANCERS ROLE AT EVENT:
MEET/GREET___ AUTOGRAPHS___ PERFORMANCE___ POSING FOR PHOTOS___
NUMBER OF DANCERS (minimum of two) ______ AUDIENCE SIZE________ AUDIENCE AGE RANGE___________
Please return completed form to:
Dallas Mavericks
Attention: Kirsten Seiter, Dancer Appearance Coordinator
2909 Taylor St
Dallas, TX 75226
or fax to (214) 672-1758







