Booking Dr. Mike Mandel ...

Sender's Contact Information:
 

First & Last Name	*
Phone #s (work/cell)	*
E-mail	*

Company/Association/Organization Contact Information:
 

Name of Company	*
Street Address
Address (cont.)
City, Province/State & Country	*
Postal Code/Zip

Event Details & Info:

Are You Currently Planning/Organizing an Event?
(Please select from drop-down box below.)
Yes No -- Select -- *
 

If YES selected above, what type of an event are you organizing?
(ie. after-dinner show, conference, employee event, college/university show, fund-raiser, etc.)

 

I would like to ...
Book Mike Mandel Get More Information -- Choose One -- *
 

How much time required before confirming and booking Mike's show?
(ie. asap, 1 week, 2 weeks, a month, etc.)

 

Is the entire audience fluent in English?
(Dr. Mike Mandel's show is presented entirely in English, only.)
Yes No -- Choose One -- *

What Entertainers or Stage Shows have you had in the past 2-3 years?

 

What is your anticipated audience size?
(Please select from drop-down box below.)
less than 80 people   80 - 100 100 - 120 120 - 150 150 - 200 200 - 250 250 - 300 300 - 400 400 - 500 500 - 600 600 - 700 700 - 800 800 - 900 900 - 1000  over 1000 -- Audience Size -- *
 

Date(s) of Event(s)	*
Name of Host Venue
Phone # of Host Venue
Address of Host Venue
City, Province/State & Country of Host Venue	*

Are you currently working with an A-V (audio visual) company? *

Yes (We'd prefer to implement Mike Mandel's A-V requirements - but at your direction.)
No  (We would like you to quote on providing Mike Mandel's sound system & stage lighting requirements.)

Name of A-V Company if Yes checked

Budget:

What is your entertainment budget range? *
(Please select from drop-down box below.)
unknown, need quote under $2,500 $2,500 - $3,500 $3,500 - $5,000 $5,000 - $7,500 $7,500 - $10,000 over $10,000 -- Please select-- *

Do you already have budget approval?
Yes   
No - not yet. (Need an accurate quote for budgetary purposes.)

Other Info:

Preferred Method of Contact:
Please phone me to discuss further
E-mail

Please indicate how were you referred to this web site?
(Please select from drop-down box below.)
Google Yahoo Bing Other Search Engine Mike Mandel's website TSE Resource Guide BizBash Newspaper Article Bravo TV Special YouTube Saw his show C.N.E. Colleague's Recommendation Other -- Referred By --

Any additional comments or important information
regarding your event that we should know about?
(Click inside box below & begin typing.)

PLEASE READ: We do not provide any information regarding PUBLIC show appearances and will
not respond to such requests. Mike Mandel no longer provides private hypnotherapy sessions nor
do we have any involvement with any of his merchandizing activities, self-help CDs, etc. & will not
respond to these requests. We DO respond very promptly to all serious, booking-related inquiries.

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CHARACTERS INTO THE BOX BELOW