Applicant

Applicant institution:
Responsible person:
Billing address:

Delivery address (if different):

Phone:
E-mail :

Musical work (Please, use a different rental form for each project)

Musical work:

Performers:
Conductor:
Scores (Desired quantity, up to 3):

Concerts

Date (DD/MM/YY)
Place (Hall/City)

1


2


3


Broadcasting
• Radio

• TV

• Web


Recording
• Internal archives

• Other(s)






Audio/Visual








Audio/Visual








Audio/Visual




Shipping

Registered mail (France and International)

Personally handed (Paris)

Requested delivery date *:


* Rental will not be confirmed unless we have received the signed contract and deposit.


Payment methods

Bank transfer

Bank card

Paypal

Remarks

Please check your email is correct.