Name:
Address:
Phone: (In case we have any questions)
Email Address:
For what reason is this song going to be written? Be as detailed as possible
If this is being written for or about someone and would like their name on the lyrics please state whom:
How do you know this person?
Please describe how this person has affcted your life and why this is being written for them: (Be as dtailed as possible)
Feel free to add any additional comments that may help us write this song:
Music can be done professionally at one of the following:	$175.00 for one singer and one instrument $360.00 for one singer with 5 piece band $460.00 for one singer with harmony & 7 piece band
Do you want this done as a duet? Add $50.00 if you do.	Yes No
Do you want this on cd? Add $10.00 if you do.	Yes No
Please add up total cost. Lyrics alone are $25.00 per song

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