CONSULTING FORM - WHITE EAGLE PROMOTIONS

Fields marked with an asterisk (*) are mandatory.

* YOUR NAME:
BAND OR COMPANY NAME:
TITLE/POSITION:
* EMAIL:
WEB SITE:
ADDRESS:
STATE/PROVINCE:
* COUNTRY:
ZIP/POSTAL CODE:
* PHONE NUMBER:
I NEED HELP WITH:
WHAT ARE YOUR GOALS?
ADDITIONAL COMMENTS:
* MINIMUM BUDGET:
BUDGET:
ONE ON ONE TELEPHONE CONSULTING AND/OR EMAIL CONSULTING:
* FEES:
(please call for a quote)
For submissions from Canada 13% HST is applied.
* PAYMENT METHODS:
Western Union
* CARDHOLDER'S NAME:
* CREDIT CARD NUMBER:
EXPIRY DATE:

Note: All payments are final. No refunds will be issued.

White Eagle Promotions
is a division of White Eagle Records Limited