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Duplication Request Form

Please print and return completed form (PDF) to the Conservatory Office, or fill out the online form below.


NAME (last, first)

Student ID

Phone

Date


Address


City


State


Zip

Students, please
check one:


I will pay COD


Please bill my student account
(student ID REQUIRED)

Email Address (REQUIRED)

Quantity
Date
Performance
Selections (all, unless specified otherwise)

"Lawrence University provides duplicates of audio recordings from the Lawrence archives for personal use, audition, study and scholarly research purposes only. I acknowledge that Lawrence University retains certain copyrights to these recordings. I understand that I am not authorized to make additional copies of these materials or use these recordings for any commercial purposes."


Your Initials

Date