Rental Quote Request Form - Keiser Southern Music

RENTAL DEPARTMENT

Orders:
Toll free, US/ Canada: 855-PLAY-KSM (855-752-9576)
Main Telephone: 203-525-3816

Rental Returns
1210 Innovation Drive
Winona, MN 55987, USA

Keiser rental works are proudly Represented in Austria, Czech Republic, Estonia, Germany, Japan, Latvia, Lithuania, Slovak Republic, and Switzerland by SCHOTT MUSIC, GMBH.

Representation in Belgium, Luxembourg and Netherlands by ALBERSEN.

Name *

Email *

Phone *

Organization *

Requested title *

Number of performances *

First performance date *

Month

Day

Year

Last performance date *

Month

Day

Year

Date of music delivery *

Month

Day

Year

Shipping address *

If billing address is different please check box below.

Billing

Use Different Billing Address

Billing address (if different)

Conductor name (if applicable)

Soloist name (if applicable)

String stand/desk count (if applicable)

ASCAP/BMI or other Performing Rights Society license #

Will any performances be livestreamed? *

Yes

Will any performances be recorded and made available for delayed streaming? *

Yes

1. How many and which platforms will the stream be uploaded to?

2. How long (in increments of a year) will the stream be available on each platform?

3. Will the uploads be monetized in any way, i.e. e-tickets, subscription fee, etc.?

Special instructions/notes

Leave this field blank