Submit an entertainer for DinnerwithaTwister.com

Image
Contact Name(s):
Name to be listed (Stage name? Website, Social Media links?):
Phone *
### - ### - ####
Email *
Do you have valid entertainers insurance? If so, with what company?*
Mailing address, city, state, zip (optional):
1st RESTAURANT
Restaurant name:
Restaurant phone:
Restaurant address, city, state, zip:
Restaurant website (if any)
nearest crossing streets:
2nd RESTAURANT
Restaurant name:
Restaurant phone:
Restaurant address, city, state, zip:
Restaurant website (if any)
nearest crossing streets:
3rd RESTAURANT
Restaurant name:
Restaurant phone:
Restaurant address, city, state, zip:
Restaurant website (if any)
nearest crossing streets:
YES: For a small fee of $15, please add a photo, logo or short video to my listing.
If so, please visit
www.PayPal.me/CharmandHappy/15 or Venmo app @CharmandHappy or Zelle app @5622373327 Carmen Tellez