SIRENALIA

Client Name *

First Name

Last Name

Client Phone: *

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Event Contact Phone: *

(###)

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Event Date(s): *

MM

DD

YYYY

Venue Phone Number: *

(###)

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Client Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cardholder Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Expiration Date: *

MM

DD

YYYY

License Agreement: *

License Agreement: I understand that by completing and submitting this form, I am authorizing a charge of the above payment method for use as a deposit and/or payment in full for the private event that I have scheduled. I assume full responsibility for all applicable taxes. A non-refundable deposit of 25% of estimated total, with a minimum $100 deposit is required and will be deducted from the invoice total. Cancellation must be made two weeks prior to the event date. Events cancelled within two weeks of reservation will be charged for total staffing wages amount. I understand I am responsible for full payment at the conclusion of the event either by one of the above payment methods or by cash. For out of town events, an additional fee will be added for each staff member. Full payment is due within three business days following contracted event. A $50.00 fee will apply for each week late. Water must be a reasonable temperature or mermaids will not perform and full cost of event will be charged to client.

Agree to Terms and Conditions

I do not agree to Terms and Conditions

Name *

First Name

Last Name