2017 SUNBURST Artist Registration
This Form Is For Celebrity Impersonators, Tribute Artists and Look Alikes!
City, State, Zip:
ZIP CODE is REQUIRED
I perform as:
Please list your main act. (This is for the purpose of your name badge)
Web Site Or Facebook/Social Media Page:
Agent Friendly Web Site:
(ARTISTS ONLY: If Available)
Artists Only: We will use this web site to post a link from our Sunburst Convention web site. MUST be AGENT FRIENDLY or we cannot post this information on our web site.
This will make my ___ year attending Sunburst!
Deposit for registration/ $25
You MUST provide payment if you are Registering with a deposit. You may also use Paypal by using our email address: firstname.lastname@example.org
Note: An Introductory ticket does NOT include a showcase, dinner, eligibility for awards, promo table or tickets for any attractions at our KickOff Party.
Program Book Advertisement:
Full Page/ $150
Half Page/ $100
Quarter Page/ $75
Inside Front Page/ $225
Inside Opposite Front Page/ $200
Inside Back Page/ $225
Inside Opposite Back Page/ $200
1/6th Page/ $50
If you are staying at the Host Hotel, what name is your reservation under?
May we send text messages to your cell phone?
Will you be joining us for dinner on that Sunday night at Buca De Beppo? (Dutch)
In case of emergency, please list a contact person with a phone number:
I will be paying by:
I will call you with my CC Information
PayPal: I'll use the email: email@example.com
Credit Card Number:
If paying by credit card only.
3 or 4 Digit security code:
Zip code associated with card.
Please attach your promotional photo here if available.
We will use this photo on our web site.