Full Name / Band Name *

First Name

Last Name

Phone Number *

(###)

###

####

City & State of Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you accept tips / sell merchandise? *

Yes

No

Do you actively promote your shows?

Yes

No

Would you commit to promoting your show at Paris Station on your social channels?

Yes

No