ON-LINE SENIOR INVOICE REQUEST FORM

senior invoicing REQUEST FORM

Please complete all entries, as all information is needed to complete our performance agreement.

* Indicates required field

Lucas Artists Agent Name *

Artist Being Booked *

Event Date *

Event Time(s) *

Any Additional Event Information (Theme, etc) *

Senior or Retirement Community Name *

Community Street Address *

Community City, State & Zip *

Activity Director *

Client Phone(s) *

Client Email Address *

Performance Fee *

Submit