Contact Clumsy Entertainer

Contact Clumsy the Entertainer

Name:

Address:

City:

State:

Zip:

Phone Number:

Email:

Event Title:

Date of Event:

Time of Event:

Where did you hear about Clumsy:

Performance Address (if different from above):

Have you seen my performance before?

Yes No

Are you over 18?

Yes No

Shall I book the timeslot described above and send you an invoice?

Yes No

Advertising code (if any):

Comments:

Clumsy the Entertainer
Phone: 716-876-7664
Text : 716-587-2743
info@clumsyentertainer.com