Please fill out the fields below and click the Submit button to register with us automatically. If you need help or more information please contact us for assistance.

To register your act please complete this form and click the Submit button, Items marked with an asterisk and in red are compulsory and MUST be completed.
Act Details      
Name of Act:* Type of Act:*
Style: Number of Artistes:
Lineup (if applicable): Number of Vocals:
Readers?: Yes No N/A Back Cabaret?: Yes No N/A
Demo Available?: Yes No If Yes, what formats?:
CD Minidisk Tape
Video Available?: Yes No
Minimum Fee:* Gross Nett Travel Radius:
Is Act VAT Registered?: Yes No If Yes, VAT Number:
Public Liability Insurance / safety
Please note that we are unable to accept ANY act without PLI
Indemnity:* Million Pounds

Expiry Date:*
(ie 31/12/09)

Insurer:* A copy of your Certificate of Insurance will be required

 
Contact Details      
Contact Name:*
Address:*    
     
     
Postcode:*    
Daytime Telephone:* Evening Telephone:
Mobile: Fax:
Email:* Website:
Sex: Male Female Date of Birth:*
(ie 31/12/69)
Nationality:*    
National Insurance No:* Passport Number:
Banking If you wish to be able to receive payments by BACS or direct transfer,
please give your bank details
Account Name: Bank:
Sort Code: Account Number:

Declaration:

This is an important and legally binding document. By clicking the Submit button you will be confirming your acceptance of the content. Click the Submit button only if you wish to be bound by it. If you do not submit this form or the paper equivalent of it, we are prevented by law from representing you since we will be unable to place your details on our computer system or our Website, or create promotional material in order to get you work.

As the authorised representative of the Act named above I hereby apply for Registration with Hartbeat Entertainments Ltd. on a Non Exclusive Agency Representation basis. I give permission for the Agency to maintain my / our personal and business details in any Data Retrieval system (electronic or otherwise) and to distribute by any means necessary such of those details as may be necessary for the purposes of promoting and/or obtaining work for the Act or for meeting the requirements of any relevant Legislation. The Agency may indicate that they represent the Act in any and all promotional materials and advertising they deem necessary in order to promote the services of the Act.

I have read and accept the Terms of Business of the Agency, and agree that the Act will adhere to those terms and to those contained in any contract issued in relation to any and all work arising out of our relationship. I understand that if the Act should wish to cease being represented by the Agency I can give a minimum of 30 days notice in writing. I understand that the Act will be required to honour any and all contracts negotiated and accepted prior to the expiry of such written notice. I undertake to ensure that any ongoing commissions or other financial remuneration due is paid to the Agency promptly and in accordance with their Terms of Business.

I understand that the members of the Act are jointly and severally liable for any obligations arising out of this commitment. I declare that to the best of my knowledge and belief the information given above is true and complete.

Please tick this box to confirm your acceptance of the above*

  Do not click the submit button unless you are certain that you understand what you are doing!

If you would prefer personal contact, please call 01752 881155