Video Registration Form

RockEDmusic P/L ABN: 15 345 930 740
RYE VIC 3941 Australia
Phone: 0408 522 398 Int: 61 408522398
Email: info@rockedmusic.com
Direct Credit: RockED Music P/L. BSB: 633 000. Acct# 1285 28247

Please read carefully through the Video Permission Information Sheet before completing this form.

    Name of School or Group *

    Contact Person

    Phone

    Title of Musical

    Purchaser of Musical

    Date(s) of Performance(s) to be recorded:

    Performance Venue

    USB / DVD Duplication and Sales

    Please complete this section if your school/company intends to duplicate and/or sell copies of the recording of this musical

    Estimated Total number of DVDs/USBs to be produced

    Estimated retail cost of DVD/USB

    Estimated Sales Completion Date

    Additional Information

    *Please submit gross takings when finalised to allow the generation of an accurate invoice.