Music Transcriptions Order Form

Name:
Street:
City:
State/Province Zip +4/Postal Code -		Country:
Phone: () email:

Enclosed is a: cassette manuscript both

Include lyrics on final copy? Yes No
Include chords on final copy? Yes No

Transcription(s) will be scored for:

Transcription(s) will be used for:
workshop handout publication private use other

Important! I have read The Fine Print, understand the terms of transcription, and accept responsibility for their ultimate usage. (Must check one.) Yes No

Return cassette/manuscript when completed? No Yes (please include sufficient return postage)

Delivery via: email attachment    snail mail (add $5 to total*)    both (add $5 to total*)     will call
                        email format: MS Word    Adobe Acrobat Reader file (.pdf)
                                            *for deliver in USA only; foreign customers will be advised on costs.

Titles (please list in order of appearance on any recording you may submit):

Title #1:
Composer/origin:
write in this key:
(Recording performed by):

Title #2:
Composer/origin:
write in this key:
(Recording performed by):

Title #3:
Composer/origin:
write in this key:
(Recording performed by):

Title #4:
Composer/origin:
write in this key:
(Recording performed by):

If you are sending more than four titles, print this page now,
then click on the Reset Titles button to clear the Titles area and resume.

Mail all pages of this form with all applicable materials:

recordings
music manuscripts
typed lyrics
at least a $20 starter deposit

and send them to:

Lucille Reilly, P.O. Box 7338, Denver, CO USA 80207-0338

Thank you!

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