* Name:


* Address:


* City:

* County / State:

* Postcode / Zip:

* Country:


* E-mail:






Style of the music / Instrumentation:

Do you require techno / synth based music/ classical / orchestral music / live musicians?


Please fill in the form below to request a quote for your project:

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Time length(s) of the music required:

Media requirements - What media will the music be used on? - TV, Film, Video, Radio, CD-Rom etc.

Which countries do you intend broadcasting / distributing to?

Delivery date of the production:

Any Sound Design requirements?

If you require live instruments / musicians, which instruments would you like?

Please write any further information regarding your project, or request further information from Vortex Music Productions: