Guidelines & Registration for Participation in VFC Anniversary Reading

H O S T Y O U R O W N R E A D I N G

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R E G I S T R A T I O N
for Participation in Voices From Chornobyl Anniversary Reading

Complete the Following Information for Registration

Contact Name *
On Behalf of the Organization
Position in Organization
Country *
Address *
City *
State/Province *
Zip/Postal Code *
Contact Phone *
Alternate Phone
Fax
Contact E-Mail *
Website (if applicable)
I, (Name) request the rights to host a "Voices From Chornobyl Anniversary Reading."
I understand that the piece (hereafter referred to as “VFC”) is to be performed in its entirety and any amendments are to be requested by emailing cindy@voicesfromchornobyl.com . I understand that we are to follow all guidelines as outlined above and any amendments to the Guidelines are to be requested by emailing at the above address.
PERFORMANCE DATE(S) *
PERFORMANCE VENUE(S) *
% of Profit Donated to Charity *
Charity *
	(*) are required fields