ARTIST REGISTRATION FORM   Prima Artists HOME   Quality Assurance Prima Artists -  proud to be a full member of the National Entertainment Agents Council   Member of The Federation of Small Businesses   £2M Public Liability Insurance Media Audio and Video Files in this site are encoded to stream in Windows Media Player       Professional Name * Type of Act:* Number of Artists:            I/we will  forward the following Brochure Yes No We should have a short biography of your act CD Audio: Yes No Where applicable,  we ask fo a sample playlist/repertoire Promotional Video: Yes No Format: DVD VHS CD ROM Yes No           Minimum Net Fee:* Area covered I/We are VAT registered:* Yes No If Yes, VAT Number:   Public Liability Insurance   All artists MUST have PLI Amount of Cover:* Million Pounds Expiry Date:* Insurer:*         Copy Insurance Certificate will be required Please confirm that Electrical Equipment, owned and used by the act is PAT tested?? Yes No       Contact Name:*     Address:*                       Postcode:*   Telephone Land Line:*     Mobile Phone:     Email:* Website: Sex:* Male Female Date of Birth:* Nationality:*     National Insurance No:* Passport Number: If you are a Limited Company, please give the names of Directors: Company Registraton Number   Banking Our preferred method of payment is by BACS - please furnish your bank details Account Name: Bank: Sort Code: Account Number: This constitues a legally binding agreement . When you submit this form you are confirming  that 1) The above content is true and complete. 2) You are applying for registration as a professional performer with Prima Artists on a non exclusive agency basis. Prima Artists function both as an Entertainment Agency and an Entertainment Business. 3) You are authorised to make this application. 4) Acceptance of your application by Prima Artists is purely at the agency's discretion subject to reviewing the above content and promotional materials. 3) You give your permission for your details being held in Prima Artists database (Prima Artists is Registered under The Data Protection Act.) 4) You agree that Prima Artists may use your promotional material in any format including printed materials and Internet Marketing to promote your services to obtain work for you and that Prima Artists may indicate that they represent you/your actin any and all promotional materialsor advertising at their sole discretion. 5) As the authorised representative of the Act named above I hereby apply for registration with Prima Artists 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. 6) I have read and accept the Terms of Businessof 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. 7) I understand that if the Act should wish to cease representation 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. 8) I understand that the members of the Act are jointly and severally liable for any obligations arising out of this commitment. 9) 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*