LIAM IAN LLC

5801 Nicholson Lane 0105 - North Bethesda, MD 20852 - 202.944.0713 - Liam-Ian@Liam-Ian.com - IG/TT: @Liam.Ian.LLC

COLLABORATOR PROFILE FORM

Creative Field

Experience Level

Name

First Name

Last Name

Average Charge / Rate to Create and Collaborate

$ / hr

LIAM IAN PROJECT

AGENCY, MANAGEMENT and REPRESENTATION

Years Associated

Agent, Manager or Formal Representation

Please provide Name and Title (John Doe - "Executive Manager")

Agency / Organization Name

Please provide the Name or Title of the Agency or Organization.

Phone

(###)

###

####

Website

http://

CONTACT & SOCIAL MEDIA

Phone

(###)

###

####

TikTok

Twitter

Website

http://

Portfolio Location

A BIT MORE ABOUT YOU

Tell us MORE about YOU!

Please provide us with a brief summary and description of who you are...and...who you are within your craft.

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MESSAGE

Subject

Message

RERFERENCES

RERERENCE 1 NAME

First Name

Last Name

REFERENCE 1 COMPANY/ORGANIZATION

Please provide a reference individual who can vouch for and attest to your level of work and project performance.

Phone

(###)

###

####

REFERENCE 2 NAME

First Name

Last Name

REFERENCE 2 COMPANY/ORGANIZATION

Please provide an additional reference individual who can vouch for and attest to your level of work and project performance.

Phone

(###)

###

####

Thank you for submitting this Collaborator Profile Form. You will be contacted for more information pertaining your interest in working with us. We’re always looking to develop projects with Artists and Creatives of Skill, Experience and Quality to further and represent our brand and ideologies in developing valuable and marketable products. You will hear from us soon!

For any questions, comment and/or concerns, contact us here or call us 202.944.0713.

COLLABORATOR FORM - LIAM IAN