Application form

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

Personal details

Name *

Address *

Date of birth *

Artist name *

Email address *

Phone number *

VAT liability *

Please only upload images that can be used for a sedcard. Up to 15 images can be loaded at the same time.

Ziehen Sie Dateien hierher oder Durchsuchen

Image usage right *

Type of performance *

Areas of application *

City for the sedcard *

Distance in kilometers *

Basic fee *

Shows and show costumes *

Text for the sedcard

Further information

Instagram

Facebook

YouTube

Own website

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

Another sedcard, yes/no? *

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

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

By submitting the form, our information on data protection and terms and conditions are considered read and accepted!

Data protection, terms & conditions *