NZAF presents the BIG GAY OUT '09

Brought to you by Marquis Condoms
SUNDAY 08 FEBRUARY 2009

PERFORMANCE REQUEST

Please complete the details below if you would like to be considered as a performer at
the Big Gay Out '09 to be held at Coyle Park, Pt Chevalier from 12noon to 7pm.

Name of Act:
Contact person:
Number of people in act:
Email Address:
Phone - Home:
Phone - Work:
Phone - Mobile:
Post Address:
Type of Performance:
Length of Performance: 5 minutes
10 minutes
15 minutes (Maximum time)
Preferred time of performance: Option 1:
Option 2:
On stage technical requirement:
e.g. Microphone, CD player etc
Have you performed in public prior to this event: No
Yes
Would you like to be included in the novice section: No
Yes
Comments: