I would only like to certify the sales of my recording, I do not wish to order the award now I would like to certify the sales of my recording, and then order the corresponding award

Company Name* : Contact person* : Position of contact person* : Full Address* : Postcode * : City * : Country* : Tel* : Fax : Mobile E-mail* : Website : VAT n° :

Number of shipments :

In respect of the following recording:

Album/single title
Artist
Label (releasing the recording)

*Please note a charge may be introduced in the future to certify your sales for this. Certification will remain free for those that buy an award.

Please fill out the rest of this form if you want to buy the award.

B. AWARD ORDER SECTION

1 . Awards

Award winners can order the Impala award. It is presented in a frame containing the CD and cover, the IMPALA sales award stamp in recognition of 'x' sales in Europe and a personalised plaque. The IMPALA award is manufactured by a professional music award framer - Award Freamers UK (official award manuafacturer for BPI Nielsen music awards). Top quality materials are used including artshield glazing which avoids in transit breakages.

Awards are delivered within approx 10 days of receipt by Award Framers UK of the CDs required to mount the awards.

Click here to see a photo sample of the Gold award

2 . Prices

Shipping is charged at 22 euros per item (orders being sent by Royal Post Airsafe service in customised packaging).
Large bulk orders are shipped using a different service - prices are calculated depending on volume and final destination.

Membership :		Direct member AIM member DUP member FONO member SOM member UFI member UPFI member VUT member APECAT member BIMA member
Award type		Quantity		VAT status		Grand total
--- Silver Gold Diamond Platinum Double platinum				--- EU Country with VAT number (not Belgium) EU country with NO VAT number Belgian Company with VAT number Non-EU country with no VAT number

Award CD and cover

IMPORTANT: To mount the award the agent needs the actual CD and the released CD cover. Please send a copy of this order form and a copy of the actual CD and the released CD cover to:

Awardframers International
Unit 8 Area C
Radley Road Industrial Estate
Abingdon
Oxon, OX14 3RY
Tel  +44(0) 1 235 888389
www.awardframers.com
info@awardframers.com

4. Printed plaque

Each award will have a personalised printed plaque with the title of the recording, the artist and the name of the record company releasing the record (details provided under the certification section). Please confirm these details here, adding the name of any intended recipient of the award if you wish (actual size of the plate 12 cm wide and 6 cm high) (see example below).

ENTER YOUR TEXT HERE
the agent will confirm by email the details with you before printing the plaque

Recording title  : By (Artists)  : Released by  : This Impala ... award is presented to : 1 (Name of intended recipient) 2 If you wish to have a different dedication for each award, please enter the text for each dedication 3 4 5 Additional line  :