your name:

today's date:

your permanent mail address:

State:

Zip:

your phone:

UC extension (if any):

your Email address:

name of performer or event:

date of event:

please enclose payment by check - make checks payable to "U.C.Regents"

do you need a Release Form ?

please check one:

o $10 - duplicate entire recital to CD
o $15 - duplicate entire recital to cassette

(PLEASE PROVIDE ACCURATE INFORMATION HERE AS NEEDED.
At mimimum we require a date for the event, and individual titles if the entire recital is not being duplicated.)
date(s) of recital(s): selection title(s):

Put completed form in Bill Coulter's mailbox at the Music Center
or mail to Recording Services, UCSC Music Center, Santa Cruz, Ca 95064

O - check here to have completed tape(s) mailed to your permanent address as listed above.

Otherwise, when your CD is done you will be telephoned or contacted via e-mail.
CD's can be picked up in Faculty Services Office at the Music Center (x2804)

Call to check when the office is open.

for more information call Bill Coulter at (831) 459-4139 , or Email billski@cats.ucsc.edu

(last updated on 2/6/01)