Student Audio Recording Request

Recital Location *
Date Date * / MM / DD YYYY
Time Time * : HH MM AM/PM
Name Name * First Last
Instrument/Voice *
Phone Phone * - ### - ### ####
Email *
Recital Classification *

Recital Classification Sophomore Junior Senior Master of Music Non-degree Other
Is This a solo or joint recital? *

Is This a solo or joint recital? Solo Joint
Please list all additional performers and their instrument/voice (including accompanist) *
Please describe in detail any special technical requirements, including sound reinforcement or sound playback. We may not be able to fulfill last-minute requests. Arrive no less than 45 minutes before your recital time for sound check. Feel free to contact me at cbburke@eiu.edu with any questions.
"By typing my first and last name and middle initial below, I am agreeing to the policies and procedures stated in the 'Recital Recording Policies and Procedures' form." *
Date of Signature Date of Signature * / MM / DD YYYY
(OFFICE USE ONLY) Recording Fee $40)
(OFFICE USE ONLY) 50% Deposit ($20) Date Received (OFFICE USE ONLY) 50% Deposit ($20) Date Received / MM / DD YYYY
(OFFICE USE ONLY) Balance due $ Dollars . Cents
(OFFICE USE ONLY) Date balance received (OFFICE USE ONLY) Date balance received / MM / DD YYYY