Application form

Please fill out all fields for your application. The fields marked with an asterisk are mandatory fields.

Personal details

Name (first and last name)

Full Address

Date of birth

Artist name

E-mail address

Phone number

VAT liability?

Image upload

Please only upload pictures if they can also be used for a sedcard!

Image 1, preview image for sedcard

Image 2

Image 3

Image 4

Image 5

Image 6

Image 7

Image 8

Image 9

Image usage right

Additional information

Type of performance (Burlesque, glass show, fire show, pole dance etc.)

Areas of application (federal states and locations)

Which city can be named as a place of residence?

Max. distance to the performance location (kilometers)

Basic fee (WITHOUT travel / WITHOUT commission)

Show acts? (Please list)

Text for Sedcard available? (5000 Zeichen übrig)

Additional information? (5000 Zeichen übrig)

Further availability?

Own website?

Instagram?

Facebook?

Twitter?

YouTube?

Miscellaneous?

Another sedcard?

Do you want a sedcard in the area: burlesque, at Stripagentur.com?

Another sedcard, yes/no?

A little hint

If the data has been sent successfully, there is the message: 'THANK YOU'.

Please send videos separately with artist names to info@burlesqueagentur.com.