Promoter / Talent Buyer Update Form Order Number Company Name * Physical Address Line 1: * Physical Address Line 2: Physical Address City: * Physical Address State: – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Physical Address Zipcode: Physical Address Country: * Mailing Address Line 1: * Mailing Address Line 2: Mailing Address City: * Mailing Address State: – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Mailing Address Zipcode: Mailing Address Country: * Business Phone: * Business Fax: Company Email Address: * Website: * Talent Buying Staff: Please list each person responsible for talent buying for your company. Name (1) * Name (2) Name (3) Phone Phone Phone Title Title Title Email Address * Email Address Email Address Facilities or events this company exclusively books. Additions must include facility / event name, city, state and phone number. An attempt will be made to confirm booking rights on additional listings with facility or event management, along with information on frequency of events at that site. If no confirmation is obtained, the listing will not be included. Talent buyers who do not report to the weekly POLLSTAR National Boxoffice Summary should provide at least three recent shows to justify inclusion in this directory. Failure to include this information may result in your listing being removed from the directory. List Artists, Dates & Venues of the last three national acts promoted by your company. Are you interested in advertising opportunities? * Yes No Please send advertising information and rate card to: Verified By: * Date: *