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Band Name:
Venue:
(Saturdays 21+)
The Melody Inn
ELVA'S FIESTA CLUB
Lanhuck's
The Brass Rail
The Club House (all ages)
The Underground (all ages)
The Vogue
Uncle Fester's House of Blooze
Primary Contact:
Email:
Phone:
Cell:
Fax:
Pager:
Web Address:
Dates Requested:
No. of Members:
Under 21? (Y or N):
Guarantee:
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