Lackawanna County Artist Invoice

Invoice Date
Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Email
Date Due (date of event)
PO Number
Name of Program/Event
Date (s) of Program Event
Services Rendered
Select One
I have worked previously as an artist for Lackawanna County and my W-9 is on file.I am a new artist and will need to submit a W-9 form
For Musicians ONLY
BandSoloist
Amount
Check Payable to
Name of Band
Number of Band Members
Comments

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