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Liben Music Publishers
Music Rental Form


To order any performance materials from our Orchestra or Wind Ensemble Catalogs please fill out all of the relevant sections of this Form.


Date


Title Requested


Solo or Orchestra Tuning (what's this?)


Number of Concerts


Type of Concerts
(Subscription, Pops, Y.P.)


Back to Back?


Performance Dates


Date Materials Needed


Name of Orchestra


ASCAP Licensed?


Name and Position of Person
Responsible for Invoice


Billing Address


Area Code and Telephone No.


Area Code and Fax No.


E-mail Address


Shipping Address
if different than Billing Address


Librarian, or other contact person
if different from above, with contact info if necessary


Comments - Special Requirements


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