Live Performance Request

If you’re interested in performing live music at Charlie B’s Daiquiris please provide your information, and we will contact you soon. We review live performance requests every Monday.

We look forward to connecting with you.

charliebsdaiquiris@gmail.com

Name

First Name

Last Name

Phone

Please provide the best phone number to contact you

(###)

###

####

Email

What type of event are you interested in having at Charlie B's Daiquiris

Performing Live

Other Performance Request

Date

Requested Date

MM

DD

YYYY

Start Time

Hour

Minute

Second

How much will you charge to book you?

Rate for total of 3 hours

$

Social Media Pages

Facebook

Instagram

Snapchat

Other

Who will be creating the flyer?

If we are creating the flyer please send us the image you would like us to use

You

Charlie B's

Website

For Live Performances

http://

Additional information

Please add any other information you would like us to consider