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CD/DVD REPLICATION QUOTE REQUEST

Please fill out this form completely. We will contact you as soon as possible with a price
quote. Be assured that your information is kept confidential and we will not distribute it to
any outside parties.

If you would like to contact us for a quote immediately, please call 1.888.GROOVE.8
(1.888.476.6838). We are available Monday through Friday 6 am – 5:30 pm PST. You can
also email us at: cdrep@groovehouse.com

Format of final product:

Quantity desired: (if "other", indicate quantity in details box below)

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Master format:

Design Options:

Packaging:

Printed Inserts:

Eco-Friendly Upgrades:

Color scheme for printed inserts: 4/0 4/1 4/4 n/a

Ink colors on CD/DVD face:

Will your product require a UPC bar code?

Do you want top spine labels? yes no

Describe any additional details for your project:

Would you like to receive our catalog in the mail? yes no (include mailing address below)

How did you find out about us?

First and Last Name: (required)

Band , Label, or Company:

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Mailing Address: (required if requesting a catalog)

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