Poetry & Percussion Performance with Tahya & Grant Smith

Reservation Form

Print out this reservation form, fill in all the fields below and fax to TAHYA office: 610-776-7045.

NOTE: Please complete all fields. Reservations cannot be accepted without phone and e-mail information.

THANK YOU! Your cooperation is appreciated.

Name:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Email:

Performance Date:

Venue:

Reservation Time Requested:

How did you find the TAHYA web site? (optional)

After completing this form, fax to

TAHYA offices: 610-776-7045

If you have any questions, please email info@tahya.com
or call 610-776-7045

Return to Main Page