Music and drama request - Playsets and Libretti

Complete this application if you wish to request a Drama Set for your society. Please note we need at least 4 weeks notice to supply a set.

Name of school/society/group as it appears on the society membership card. *

Library card number of school/society/group (14 digits) *

Your name *

Home address *

Landline telephone number including STD/dialling code. Do not include spaces.

Mobile phone number.

Email address. *

Select the library collection branch. *

Author

Title *

Editions, etc. Please leave blank unless a specific edition or arrangement is required.

Date required from. We require 4 weeks advance notice. *

Date required to. *

Date of performance.

Please select: *

Play set

Libretto set

Play sets & libretti are supplied in pre-determined numbers.

Any additional information.

As organiser or nominee for the above society, I undertake to return to the Library the performance set supplied for the above group by the date specified, or replace/pay for lost or damaged copies. *

I agree

Please leave the remaining boxes blank and click "Finish" below.

FOR STAFF USE ONLY - Amount to be paid:

_____________________________________

Please return the set by:

_______________________________________

TO COMPLETE ON COLLECTION OF SET:

date__________________________________

number of copies________________________

signature of co-ordinator____________________________________________________________

signature of staff___________________________________________________________________

TO COMPLETE ON RETURN OF SET:

date_______________________________________

number of copies____________________________

signature of co-ordinator_____________________________________________

signature of staff____________________________________________________

Return paperwork and set to CLH - complete/incomplete?

If the set is returned incomplete, please specify below the number of parts missing and give detail of return/replacement timeframe:

* indicates that you must supply an answer

Thank you - we will be in touch.

You will find details on how we look after your personal data in our privacy notice