Reference Recording $15.00 prepaid shipping/handling charge. Payment must be made in the form of check or money order (no purchase orders) in US dollars. Sales tax for MD. Make check payable to : Geraldine Claire Johnson
Address to: Geraldine Claire Johnson

DeRyan Theatre Workshop
17102 Spates Hill Road
Poolesville, MD 20837

For additional recordings check below:
1 - 10 --- $15.00 11 - 20 --- $10.00 21 - 30 --- $7.50

PLEASE GIVE US INFORMATION ABOUT YOUR ORGANIZATION

ABOUT YOUR PRODUCTION:

Organization Name: _________________________________________ Your Name: _______________________________________________ If School, Principal's Name: ___________________________________ Address: _________________________________________________ ________________________________________________________ City: ___________________ State: ___ Zip Code: _________________ Phone Number: ( ___ ) __________________ Fax Number: ( ___ ) __________________ Email Address: _________________________________ Organization Website Address: _________________________________

Performance Dates: First: ____________ Last: __________ # of Performances: ________________ Location of Performance:____________ _______________________________ _______________________________  PLEASE SEND ADDITIONAL INFORMATION FOR: Piano/Vocal Score Thirteen-Part Orchestration: Flute, Oboe, Horn, Trumpet, Trombone,Harp, Piano, Viola Violin I&II, Cello,Bass, Percussion