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The undersigned orders the following services,according to the General Terms & Conditions of the edition 49, available for perusal here:

   Order the newest MDB version on CD Rom
   each US $ 29.95 including sales tax plus shipping US $ 4.00
   Registration and order of the newest MDB version on CD Rom for US $ 29.95 each, including sales tax plus shipping US $ 4.00.
   Registration of the following musicians data in the MDB, for US $ 14.50, including sales tax.

Payment with a credit card
Master Card No.:   
valid until:    /
Visa Card No.   
Valid until:    /

The following information will be recorded in the musicians data base. To order the CD Rom you must at least complete all of the fields marked with*

*Surname   
*First name   
Title   
*E-Mail   
Company   
*Street   
*Staat   
*Zip code   
*City   
Date of Birth   
Telephone   
Fax   
Cellular phone   
Homepage  http:// 

Category    Main occupation (for instance: violin, voice, promotion, music criticism, producer, composer, sound studio, publishing company, online services, film music, special interest magazines)


Branch:
  Classical
  Jazz
  Pop
Put a cross in the applicable box.


Instruction (teaching):
  Yes
  No
Put a cross in the applicable box.


Concerts:
  Yes
  No
Put a cross in the applicable box.



Ensemble Category    (for instance: string quartet, percussion ensemble, voice with guitar, bass, etc.). More than one possibility may be given.



Ensemble/Band    Name of the Ensembles/of the Band

Recordings:
  Yes
  No
Put a cross in the applicable box.


Our registration and order forms are available as an HTML file. The general rules and regulations for the registration and ordering of the branch catalogue are also in the HTML format.
I have carefully read and agree to the General Terms & Conditions.
I understand that even if I send this order by e-mail it is legally binding.


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