VIP - ARTIST ENROLLMENT FORM

___________________________________________
Please fill your information to the best of your ability. Make sure your handwriting is legible so that we
may be exact in transferring your data. Write "N/A" for questions that does not apply.

1. DATE: __________

2. METHOD OF PAYMENT:
CHECK ____
US POSTAL MONEY ORDER ____
CREDIT CARD____

3. GENDER: MALE / FEMALE

4. BIRTHDAY: ___/___/_____

5. NAME:_______________________________________________________________

6. ADDRESS: ___________________________________________________________

7. ZIP CODE: _______________

8. PHONE NUMBER: ____-_____-_____
8a.- What is the best time to call? ____________________

9. WEBSITE URL: __________________________________

10. EMAIL ADDRESS: _____________________________________________________

11. What are your talents:
(ex. Singer, songwriter, publisher, etc.)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

12. TYPE OF MUSIC YOU PERFORM OR WRITE:
(ex. Rhythm & Blue, Abstract, Country or other please specify.)

_______________________________________________________________________

_______________________________________________________________________

13. Are You A Singer and a Songwriter? ________________________________________

14. Are you a Rapper? Please list your specialty of your talents:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

15. Tell us about yourself. How would you describe your personality?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

16. Do you work well with others?_____________________________________________

17. Do you have a agent?___________________________________________________

18. Do you prefer to work with a group? Do you work better alone? (Solo Artist?)

_______________________________________________________________________

_______________________________________________________________________

19. Do you have a "Tour bus" ? _______________________________________________

20. Do you have a band to tour with? ___________________________________________

21. How much notification do you need when called upon for a show?____________________

_______________________________________________________________________

22. How far are you willing to travel for performance?_______________________________

23. Is there a limit of location area in which you can perform? (If so, please name.)_________

_______________________________________________________________________

24. Do you work well under pressure?__________________________________________

25. Are you flexible to go whenever you want? ____________________________________

26. What days are best for you for performance shows? (please fill in all important dates & details)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


27. Do you have a Manager? _________________________________________________

If So, Please list Name and Contact information:

_______________________________________________________________________
Name & Telephone Number

_______________________________________________________________________
Address (optional)


28. Are you under contract with any independent or major record labels? If so, Who?

_______________________________________________________________________

29. HOW DID YOU FIND OUT ABOUT KLEOPATRA'S PROMOTIONAL SERVICES?
WORD OF MOUTH
MAGAZINE
SEARCH ENGINES
TELEVISION
CHAT ROOM
OTHER SOURCE (please specify) _____________________________

30. If there is any thing in which we should know about you, please take the time to tell us here:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

If you are mailing in a check or money order for your ENROLLMENT FEES,
please print out this form, fill in your information and include with your payment.
Also be sure to send to us your "Promo Packet." If your promotional package
is not ready, just let us know when it will be. We accept payments threw pay pal and credit card
payments through PayPal. For electronic enrollment and electronic payment
by check or credit card, copy and paste
this form into an e-mail and send to:

Kleopatra's Promotions
VIP Artist Enrollment
3896 Dewey Ave Suite #5309
Rochester, New York 14616