DJ Moda manages his bookings. If you wish to inquire about him for your event, please submit the form below. You will receive a response within 24 hours. Submitting this form does not confirm DJ Moda for your event.

Event Date:

Buyer Information

Full Name:Phone:
Organization:Cell Phone:
Mailing Address:Fax No.:
City:Email Address:
State/Province:Confirm Email:
Postal Code:Website:
Country:

Venue Information

Venue Name:Phone:
Contact:Fax No.:
Street Address:Email Address:
City:Website:
State/Province:Event Age Limit:
Country:

Terms of Offer

Offer Amount:Advance Tix:
Gross Potential:Door Tix:
Set Time:

Additional Information

How many other performing artists?
Which artists have you confirmed for this event?
What agencies have you worked with in the past?
Additional Comments or Questions:

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