Contact Accent Music, Inc.

2145 Central Parkway
Cincinnati, Ohio 45214

513-241-0903
Fax: 513-241-0902

Email: info@accentmusic.org

Your Contact Information:

Purchaser:
Company or Organization:
Name of Event:
Mailing Address:
Mailing Address (Line 2):
City, ST Zip:
Phone (Day):
Phone (Evening):
Fax:
Email Address:
Please send me a music sampler:	Click for Yes
If yes, which audioformat do you prefer?	CD Tape None

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Event Information:

Event Address (Line 1):
Event Address (Line 2):
City, ST ZIPCODE:
Additional Info
Are there plans for other music?	Click for Yes
Will a piano be provided?	Click for Yes
Is there special dress required?	Click for Yes
Will there be a dinner in connection with this engagement?	Click for Yes
Is the band required to be setup early?	Click for Yes
If so, what time?
Type of Event:
Date & Time of Event:
Music styles you're interested in:	Choose one... Bagpipes Cajun or Zydeco Country or Bluegrass Dance Band Disco Dixieland Ethnic Jazz Piano or Combo Rock-N-Roll Classical Guitar or Piano String Trio or Quartet Brass Quartet or Quintet Harp Harp with Flute or Strings Strolling Violin Strolling Accordion Strolling Guitar I need help deciding! Other
Other music styles (or you have multiple interests)
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