ShaoLin LoHan Pai Lion Dance Troupe
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Dragon Dance
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Online Request Form
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Lion & Dragon Dances for St. Louis, Kansas City, Springfield, Rolla MO and the entire Midwest!
Please submit only
one
'Request Form' per performance location.
*
Contact - First Name:
*
Contact - Last Name:
Company or Organization:
*
Billing - Street Address:
Billing - Street Address (2):
*
Billing - City:
*
Billing - State:
*
Billing - Zip Code:
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Contact - Phone Number:
Alternate Phone:
*
E-Mail Address:
*
Please verify your E-Mail Address:
Alternate E-Mail Address:
Event Name (If Applicable):
*
Performance - Street Address:
Performance - Street Address (2):
*
Performance - City:
*
Performance - State:
-Select a choice-
Arkansas
Illinois
Indiana
Iowa
Kansas
Kentucky
Missouri
Nebraska
Oklahoma
Tennessee
Wisconsin
*
Performance - Zip Code:
*
Will this Performance(s) be Indoors, Outdoors or Both?
-Select a choice-
Indoors
Outdoors
Both
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All outdoor performances are subject to weather conditions. The Troupe Director reserves the right to cancel, without prior notice, any outdoor performance. Full transportation and partial performance fees of 25% may apply.
I acknowledge this condition.
*
Are you requesting multiple performances?
-Select a choice-
Yes
No
*
How Many Performances?
x 1
x 2
x 3
x 4
x 5
More >>>
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Performance Date:
*
Performance Time(s):
Additional Performance Date:
Additional Performance Time(s):
*
Quantity of Dai-Tou-Futs or Acrobats Requested:
(Subject to Discount / SRA)
-Select a choice-
0
1
2
3
4
5
*
Quantity of Percussion Teams Requested:
(Subject to Discount / SRA)
-Select a choice-
0
1
2
3
4
5
*
Quantity of Lions Requested per Performance:
(Subject to Discount / SRA)
-Select a choice-
0
1
2
3
4
5
6
7
8
9
10
11
12
*
Quantity of Dragons Requested per Performance:
(Subject to Discount / SRA)
-Select a choice-
0
1
2
3
4
5
*
Minutes per Performance:
(Subject to Discount / SRA)
Post Discount Performance Packages:
(Cannot be used during a non-holiday weekday before 6:00 pm CST.)
-Select a choice-
Basic Package
Wedding Package
Standard Package
Premium Package
Dragon Dance
Showcase Package
Parade (3 x Lions)
Would you like to request additional lions for your Package?
-Select a choice-
Yes
No
If so... how many Additional Lions are you requesting?
-Select a choice-
1
2
3
4
5
6
7
8
9
If you are requesting a "Parade" performance... how many hours do you need?
x 1 hour
x 2 hours
x 3 hours
More >>>
How did you hear about us? (Additional discount may apply.)
Another Website (Not OMAS Affilated)
Student of Shaolin Lohan School
Previous Troupe Client
Other
What is the Website address, the Name of the Student or Troupe Client that you heard about us from?
*
Are you a New Client?
-Select a choice-
Yes
No
Customer ID #:
(Previous Clients Only)
*
Are you requesting a "Fee Reduction"?
-Select a choice-
Yes
No
Fee Reduction - Are there any special Troupe accommodations that will be provided? (Check All That Apply):
Water
Food
Parking
Free Pass or Admission
Transportation
Travel Reimbursement
Lodging
Fee Reduction - What is the reason for your request? (Check All That Apply):
Non-Profit Event
Non-Profit Organization
Martial Arts Tournament
Cultural Significant Event
Multiple Performance
Place any further Details, Special Requests or Considerations not already covered by the form:
*
All Out-of-Town performances must be Prepaid before we can provide a performance confirmation.
I acknowledge this condition.
*
I acknowledge that I may incur additional fees for ANY changes made less than 30 days prior to the agreed performance date or for ALL changes made onsite.
I acknowledge this condition.
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