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RENTAL

REQUEST
FORM

Composer_______________________________________________________________________________
Title of Work_______________________________________________________________________________________________
Number of Performances ___________ Date(s)________________________________________________
The name of the hall______________________________________________________________________
Address __________________________________________________________ Seating Capacity_______
Number of string parts _________________ Number of piano/vocal or choral scores_______________
Details of any broadcast or recording _______________________________________________________
Date materials are needed (standard rental period is 6 weeks prior to the first concert)___________
Name of Ensemble________________________________________________________________________
Contact Person______________________________________________________________________________________________
Billing Address______________________________________________________________________________________________
City _____________________________________ State___________________ Zipcode (Postal Code)__________________
Country______________________________________________________________________________________________________
Phone ____________________________________________ Fax_____________________________________________________
Email________________________________________________________________________________________________________
q Ship to billing address
q Ship to different address:
Shipping Address___________________________________________________________________________________________
City _____________________________________ State___________________ Zipcode (Postal Code)__________________
Country______________________________________________________________________________________________________

Method of Shipping
Inside the U.S.: q UPS ground q UPS 2-day q UPS next day
Outside the U.S.: q UPS Expedited q International Mail
Are we shipping to a q business or a q residence?
Please return this form to us:
(by email) Bill@HolabMusic.com or (by fax) 1-718-228-8085
We will reply with a quote on the rental fee

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