GENERAL INFORMATION

First Name*:     Last Name*:

Record Label:

Product:

Address*

City*:     State*: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI     Zip*:

Primary Phone*:

Work Phone:

Fax:

E-Mail:

MEDIA SELECTION

Please put a number next to production master type to indicate quantity type of masters you will need.

CD Production Masters

Redbook Master CDR(s):

Reference Copies

Ref CDR(s):

LP Lacquer reference(s)

Side A:      Side B:

Lacquer (vinyl) Masters

12" 45 rpm      12" 33 1/3 rpm 10" 45 rpm      10" 33 1/3 rpm   7" 45 rpm        7" 33 1/3 rpm

Side A begins track: and ends with track:

Side B begins track: and ends with track:

Label Catalog #:

Additional Scribe Information

Side A: Side B:

SHIPPING INSTRUCTIONS

Ship CD Master to:

ATTN:

Company:

Address:

City:       State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI       Zip:

Phone:

Ship Reference Masters to:

ATTN:

Company:

Address:

City:       State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI       Zip:

Phone:

Ship Lacquer Masters to:

ATTN:

Company:

Address:

City:       State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI       Zip:

Phone:

Return Master source tapes to:

ATTN:

Company:

Address:

City:       State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI       Zip:

Phone:

Tracks

Track01 Title:    Track01 Time:

Track02 Title:    Track02 Time:

Track03 Title:    Track03 Time:

Track04 Title:    Track04 Time:

Track05 Title:    Track05 Time:

Track06 Title:    Track06 Time:

Track07 Title:    Track07 Time:

Track08 Title:    Track08 Time:

Track09 Title:    Track09 Time:

Track10 Title:    Track10 Time:

Track11 Title:    Track11 Time:

Track12 Title:    Track12 Time:

Track13 Title:    Track13 Time:

Track14 Title:    Track14 Time:

Track15 Title:    Track15 Time:

Track16 Title:    Track16 Time:

Track17 Title:    Track17 Time:

Track18 Title:    Track18 Time:

Track19 Title:    Track19 Time:

Track20 Title:    Track20 Time:

Track21 Title:    Track21 Time:

Track22 Title:    Track22 Time:

Track23 Title:    Track23 Time:

Track24 Title:    Track24 Time:

Track Notes

Track01 Notes:

Track02 Notes:

Track03 Notes:

Track04 Notes:

Track05 Notes:

Track06 Notes:

Track07 Notes:

Track08 Notes:

Track09 Notes:

Track10 Notes:

Track11 Notes:

Track12 Notes:

Track13 Notes:

Track14 Notes:

Track15 Notes:

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Track21 Notes:

Track22 Notes:

Track23 Notes:

Track24 Notes: