Artiste Registration

Act Details

Name of Act:*

Type of Act:*

Style:

Number of Artistes:

Lineup (if applicable):

Number of Vocals:

Readers?:

Yes No N/A

Back Cabaret?:

Yes No N/A

Demo Available?:

Yes No

If Yes, what formats?: CD Minidisk Tape MP3 Other

Video Available?:

Yes No

CD-ROM Available?:

Yes No

Minimum Fee:*

Gross Nett

Travel Radius:

Is Act VAT Registered?:*

Yes No

If Yes, VAT Number:

Has the act been known by any other names?

Yes No

If Yes, please list:

Public Liability Insurance

Indemnity:*

Million Pounds

Expiry Date:*

Insurer:*

A copy of your Certificate of Insurance will be required

Contact Details

Contact Name:*

Former Names (if applicable)

Address:*

Postcode:*

Daytime Telephone:*

Evening Telephone:

Mobile:

Fax:

Email:*

Website:

Sex:*

Male Female

Date of Birth:*

Nationality:*

National Insurance No:*

Passport Number:

If the Act is a Company, please list the names of Directors:

Banking

If you wish to be able to receive payments by BACS or direct transfer, please give your bank details

Account Name:

Bank:

Sort Code:

Account Number:

Declaration:

This is an important and legally binding document. By clicking the Submit button you will be confirming your acceptance of the content. Click the Submit button only if you wish to be bound by it. If you do not submit this form or the paper equivalent of it, we are prevented by law from representing you since we will be unable to place your details on our computer system or our Website, or create promotional material in order to get you work.

As the authorised representative of the Act named above I hereby apply for Registration with Light Zone Productions on a Non Exclusive Agency Representation basis. I give permission for the Agency to maintain my / our personal and business details in any Data Retrieval system (electronic or otherwise) and to distribute by any means necessary such of those details as may be necessary for the purposes of promoting and/or obtaining work for the Act or for meeting the requirements of any relevant Legislation. The Agency may indicate that they represent the Act in any and all promotional materials and advertising they deem necessary in order to promote the services of the Act.

I have read and accept the Terms of Business of the Agency, and agree that the Act will adhere to those terms and to those contained in any contract issued in relation to any and all work arising out of our relationship. I understand that if the Act should wish to cease being represented by the Agency I can give a minimum of 30 days notice in writing. I understand that the Act will be required to honour any and all contracts negotiated and accepted prior to the expiry of such written notice. I undertake to ensure that any ongoing commissions or other financial remuneration due is paid to the Agency promptly and in accordance with their Terms of Business.

I understand that the members of the Act are jointly and severally liable for any obligations arising out of this commitment. I declare that to the best of my knowledge and belief the information given above is true and complete.

Please tick this box to confirm your acceptance of the above*