Please complete and submit this form to request information on Compact Disc duplication.

KBRS will not duplicate copyright protected material unless you can prove either you own the copyright or you have written permission from the copyright owner to duplicate the material.

Note that fields marked with * are required.

Your Name: *
Company Name:
Address 1:
Address 2:
City: State: ZipCode:

Phone: Fax:

e-mail: *

How do you prefer to be contacted?*
US Mail
Telephone
Fax
Electronic Mail

What is to be duplicated?*    Music   Data What is the size of program to duplicate?  *    minutes   meg

If this is a data file, what type of file? (ie. *.avi, *.mpg, etc...)

What type of medium is your master on now?*   CD   DAT tape   other (please elaborate)  

KBRS can do Rimage (thermal) single color on-disc printing, would you like printing on your discs?*
With
Without
Please quote for both ways.

KBRS can provide laser-generated black on white back-liners, would you like to get pricing with or without liners?*

With
Without
Please quote for both ways.

What type of package would you like the disc in?*

Standard jewel box (2 piece, clear box with black tray)
Slim jewel box, all clear (No provision for a back liner)
Paper envelope with window
Clear, all plastic envelope
None

Approximately how many discs are you thinking of having made? *

Would you like a sample sent to you?* yes  no

Is there any other information that you have that would help with your quote?  (This would include number of tapes in album)

Please tell us how you heard about KBRS