DW Drums - Clinic Request

DW/Pacific Event Request

Store & Contact Information

Store/Event:*	Person Submitting Request:*
Venue Name:*

Venue Street:*

Venue City:*

State/Provence:*

Zip:*

Venue Country: (if outside U.S.)

Contact Person:*	Contact E-mail Address:*
Contact Phone:*	Contact Fax:*

Clinic Request

Artist(s):*

Event Date/Time:*

Type of event (i.e. Clinic, Materclass, Festival, Other):

Expected Attendance:

Potential Co-Sponsors:

Event Marketing:

Support Requested (i.e. Financial, Literature, Door Prizes, Banners, Other):

I accept the terms and conditions of the clinics policy