Customer order number:

Title:

Artist:

Genre:

Source - original & tools:

FTP

CU carrier

Lacquer

Mother

Father

Type of carrier:

CU carrier

Lacquer

Engraving side A:

Never-ending groove (side A):

Engraving side B:

Never-ending groove (side B):

Cutting:

Standard

Loud

Flat

I agree to the list of recipients. The email with the link will be sent once you finish your order.

Are you the intellectual Property Rights Owner (IPR) for the netire disc contect?

Yes

Distribution:

Within an organisation

Retail

For public

Is it a COMPILATION?

Yes

If not Intellectual Property Rights Owner (IPR), proof of replication licensing from IPR owner for licenced tracks may be required. Please confirm that (mark your choice with a circle) the Client?

Has a standard contract with a member organization of BIEM

Has a work by work contract for the ordered product registred at a member organization of BIEM

The product does not contain any protected production(s) and the Client is not represented by any member organization of BIEM.

The above mentioned me/company (hereinafter referred to as “the Client”) hereby gives the following warranties and indemnities to GZ Media a.s. (hereinafter referred to as “GZ”): 1. That the Client is the sole owner of the copyright in the material supplied for reproduction, or alternatively that the Client has been granted the right to reproduce and distribute the material described in the order by al copyright owneres.

Name of address:

Country

Address 1:

Address 2:

ZIP CODE:

City:

Contact person:

Phone country code:

Phone:

Shipping conditions:

Shipping method:

Line no	TP´s format	Type	RPM	Catalog n.	QTY	Address:
1	12"	Shaped disk	33/33	0600724782400	5	Optimal media
2	Format 12" 10" 7"	TP´s format Classic black Picture disc Shaped disc Shaped PD	RPM 33/33 33/45 45/45 45/33

TP´s / Stampers
The form for ordering TP´s and Stampers.

Product details

List of recipients:

Copyright declaration:

TP´s / Stampers The form for ordering TP´s and Stampers.

Product details

List of recipients:

Copyright declaration:

TP´s / Stampers
The form for ordering TP´s and Stampers.