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 / Campus Residence

City

State

Zip

Students/Parents,
please check one:
I will pay COD


Please bill to student account
(Student ID or name REQUIRED)
Email Address (REQUIRED)
        Rates:
        Single-CD set - $12 each (+5% WI state tax and shipping as necessary)
        Double-CD set - $14 each (+5% WI state tax and shipping as necessary)
        ** Concerts exceeding the 80-minute capacity of a CD are produced as double-CD sets.
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

 

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