APPLICANT INFORMATION Date of birth : SERVICES INFORMATION Do you already have a manager or booking agent Yes No Do you already have an insurance policy Yes No Have you ever signed with any publishing company before Yes No Have you ever applied for USA work visa before Yes No Have you ever performed at any major event in USA before Yes No Which services are you applying for ---- Life Insurance- Event Hosting- Health Insurance- Legal Services- Product Vendor- Publishing Rights- Retirement Plan- Royalties Rights- Work Visa Date: