Thank You For Supporting Submission Form

Please provide your full name.
Phone *
Phone
Please provide the preferred phone number of your point of contact.
Events in the Month of February
Please include all important URLs to your social media accounts. Instagram, Twitter. Facebook, and ect
Please include all important instruments or equipment you will bring or need to perform. Include cords that you need as well. If you have a diagram please provide a link to your pdf file.
Please provide a downloadable link to the picture you would like us to use when promoting your next performance with Human Influence. Please provide photographer's name as well.