Yes, I’m interested in having Gary Goodman perform his Stage Hypnosis and/or Mind Reading Shows at our event. Please contact me A.S.A.P. with more information.

PRIVACY: This information will never be sold. Information is for the contact use of Gary Goodman only.

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*Full Name Position/Title Company Name Group Name *Contact Email Web Site URL   http:// Home or Business Address Address line 2 Name of Development City State/Province Zip/Postal Code Country *Day Phone *Evening Phone Cell Phone Fax Number Date of Event Location of Event Event Address Type of party (select one) Select One Birthday Anniversary Bar Mitzvah Bat Mitzvah Graduation Corporate Event Trade Show Fundraiser Other Number of People at event Anticipated start time of your event Anticipated end time of your event Time you would like Gary to perform Age Range of Guests Name of Honoree Age of Honoree What type of live entertainment have you used in the past? Please provide any further information about your event Please contact me by email Phone Best day(s) & time(s) to reach me are How did you hear about Gary Goodman?   NEW CONTACTS: Please note! Promo is NOT sent without a current phone # so we can verify the info being requested by an adult, or a mature teen( for University or college events). Thank you for your understanding and cooperation. Are you an agent, event planner, or producer? We’ll send you tapes and promo material without our name and numbers. You use your own labels. Let us know how many you need today!