I, {your real full name here}, am submitting to Piano World the material listed below and give permission for its use in the Piano World Member's Recording Compilation Volume I. Piano World acknowledges that I retain all rights and ownership of this submission.

1. {Piece #1 Composer's Name, Piece #1 Opus#/Title}, performed by {name(s) of performer(s)}

2. {Piece #2 Composer's Name, Piece #2 Opus#/Title}, performed by {name(s) of performer(s)}

3. ...

4. {If you include a picture, list file name here -- e.g., MarksPiano.jpg}, a picture taken by {name of photographer}

5. {If you include a text file, list file name here -- e.g., MarksInfo.txt}, textual material written by {name of author}

6. {If you include the manuscript(s)/sheet music to the original composition(s) you submit, list file name(s) here}, music written by {name of composer}

7. ...







{Your signature above}
{PRINT your name here}, {date here}
Piano World Forum screen name: {your PW screen name, for our reference}





{If you are a minor, please have your parent or legal guardian sign and date here}
Signature of Parent or Legal Guardian
Name of Parent or Legal Guardian: {PRINT parent/guardian's name here}

____________________________________

Mail the above to:

Piano World
38 Parky Drive 
Enfield, CT 06082