JUST CALL

STEVE COX

SCOTT DEAN MANAGEMENT

Phone: 775 240-3814

435 Shady Lane Ct.  Reno, NV 89509

OR FILL OUT THIS FORM AND

WE WILL CALL YOU

What kind of event are you wanting to book Bill for? (Select one)

Club Date Corporate Event Concert Casino Employee (Other) Other:

Where is the event going to be held?

        Name of the Facility  :

                          City      :

                          State    :

What is the date of your event?

                        Date:

What is your budget for your event?

Budget (if not sure yet, let us know that too):

Is there any other thing we need to know about your event?:

Tell Us a little bit about You?  Are you the?

Booker Owner Agent Event Planner

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.