FXBG Public Radio

Name *

First Name

Last Name

Phone *

(###)

###

####

Address of Event *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Event: *

MM

DD

YYYY

Start Time: *

Hour

Minute

Second

AM PM

End Time: *

Hour

Minute

Second

AM PM

Requirements: *

Select from below

Engineer Only

Basic Setup (2 powered speakers, small mixer, wired microphone, engineer to operate)

Additional Speakers (2 powered speakers)

Monitors (2 small powered speakers)

Subwoofer (1 powered subwoofer)

Wireless Microphone

Live Performance Package (Large mixer, 100 ft snake, additional wired drum and instrument mics/stands)