Club, Casino, Small Venue Update Form

Club / Casino / Venue Name

Physical Address Line 1:

Physical Address Line 2:

Physical Address City:

Physical Address State:

Physical Address Zipcode:

Physical Address Country:

Mailing Address Line 1:

Mailing Address Line 2:

Mailing Address City:

Mailing Address State:

Mailing Address Zipcode:

Mailing Address Country:

Business Phone:

Business Fax:

Company Email Address:

Website:

Management: Please include each of the following positions: Owner, Manager, Booking Contact and Publicity Director.

Name (1)

Name (2)

Name (3)

Name (4)

Direct Phone

Title

Email Address

Booking: Please complete this section if an outside promoter has exclusive rights to your venue.

Booking Company

Booking Contact

Booking Phone

Booking Fax

Legal Capacity

Additional Capacities & Notes

Music Format: List the four (4) main types of music booked at your venue. More than four types will be converted into either

Club / Casino Buyers who do not report to the weekly Pollstar National Boxoffice Summary must provide at least three recent shows to justify inclusion in this directory. List Artists & Dates of the last three national acts promoted at your venues. Failure to include this information may result in your listing being removed from the directory.

Are you interested in advertising opportunities?

Yes

Please send advertising & rate card information to:

Verified By:

Date: