Name of Act, Venue or Service

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You should then see our 'Thank You' Page.

If you make a mistake while filling in the form, simply edit your text as in a Wordprocessor, or hit Clear to clear all the fields in the form.

Street

Phone No

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To ensure that we can offer you the very best presence on this site, we require that you send us up-to-date Photos, Biography, Sound or Video Clips (if available), a list of your upcoming bookings, and the name of any existing website you may have. (Unfortunately we cannot link to Myspace because of their legal restrictions which prevent anyone from doing so).

IMPORTANT

Disclaimer

I hereby declare that I/We hold the copyright to any and all material I/We supply for use on this Site and do hereby grant Go-Platinum and ENTERTAINMENTplus full rights to include that material, whether it be Photos, Biography, Sound or Video files, or any other content .

By clicking the box below, I agree that Go-Platinum and ENTERTAINMENTplus, their management and staff, shall not be held responsible for any breaches of copyright, implied or otherwise  for the material I/We have supplied.

Please read the disclaimer, then click the box below signifying that you have read and agree to the conditions, prior to sending the form.

I Agree

Referred by Name

or Member No.

PLEASE NOTE:

In the interests of better security, Payment Methods will only be discussed by return phone call once I receive this application. All monies MUST be handled this way for your page to be added to the site.

Thank you and Welcome.

Email Address

Membership Request

Special Requests

Existing Website