Contract Questionnaire

See you soon!

Please fill out the form below, and we will not be far from securing your event date.

Name (of the individual responsible for signing the agreement).(Required)

First Last

Company/Organization Name

Email(Required)

Cell Phone(Required)

Work Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Platform(Required)

Length (range) of Tim's Performance(Required)

Date of event(Required)

Event Start Time(Required)

Tim Start Time(Required)

AV Check-in Time

Location of event

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of performance

Will you be recording the program?(Required)

Will you send a copy of the recording to Tim for promotional use?

Additional Comments