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c12h23

Diesel Brothers Appearance Request

APPEARANCE REQUEST FORM

This form is used for availability and booking of the Diesel Brothers. Please do not use this form for anything other than appearance requests as it goes directly to c12h23, NOT directly to the Diesel Brothers.

WHO ARE YOU REQUESTING? *

Dave Sparks aka HEAVY D
Dave Kiley aka DIESEL DAVE
Keaton Hoskins aka THE MUSCLE
Josh Stuart aka RED BEARD

Please select one or more.

YOUR INFORMATION

All required fields must be filled out with accurate information.

Name *

First

Last

Your Organization/ Company

Phone *

Email *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Website / URL

Must have http:// before website

Event Name *

Example: c12h23 Expo, Diesel Birthday Party, etc.

Appearance Services Desired *

Endorsement
Speaking
Autograph Signing
Meet and Greet Appearance
Other (Use Comment Section Below)

What is your Budget? *

Please put an estimated or set budget amount.

Event Date *

Date

Time

Please put an estimated or set date and time of event.

Event Audience Size *

Can just be an estimated number.

Brief Event Description / Additional Comments *

Info about your event.

In lieu of the request form, give us a call at (646) 653-7275.

Name

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