Music and drama request - Orchestral Set

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

Name of society. *

Membership number (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. *

Composer

Title/Work *

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.

Orchestral sets are supplied in pre-determined numbers of parts.

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:

____________________________________

For staff use only:

Full Score_____   Piano Conductor_____   Miniature Score_____

Violin 1______   Violin2______   Viola_____   Cello______        Bass_____

Flute_____ _     Piccolo_____ Oboe_____    Cor Anglais_____ Clarinet_____

Bass Clarinet_____  Bassoon_____ Contra Bassoon_____

Horn_____ Trumpet_____ Cornet_____ Trombone_____ Tuba_____

Timpani_____   Percusssion____________________________________________________

Harp_____  Organ_____ Sax_____ Other__________________________________________________

Please return the set by:

________________________________

TO COMPLETE ON COLLECTION OF SET:

date __________________

signature of co-ordinator ______________________________________

signature of staff ____________________________________________

TO COMPLETE ON RETURN OF SET:

date ______________________

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.

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