| Name: |
|
| Name of
School/Church/Organization |
|
| Address: |
|
| City, State Zip: |
|
| Telephone Number: |
|
| Cell Phone Number: |
|
| Fax Number: |
|
| Email Address: |
|
| I represent: |
Middle
School
High
School
College or University
Community Organization
Drum
Corps
Church or Religious Organization
Professional
Group
Publishing
Company
Other
|
| I am interested in an
Arrangement/Composition: |
Marching
Band
Concert
Band
Drum
Corps
Indoor
Brass
Percussion
Ensemble
Winter
Drum line
Winter
Guard
Orchestra
Jazz
Ensemble
Other
|
| If you decide to make a
purchase, how would you prefer to pay: |
Personal Check(By Mail)
Money Order(By Mail)
Band Booster Check(By Mail)
Purchase
Order
Paypal(Online
with a check or credit card)
|
The Information
requested below is optional, please fill out only sections that pertain
to your request. Then scroll
down and submit.
|
If
no additional information is needed, please scroll down and hit the
submit button. |
| Please list the
instrumentation of your ensemble including the number of players on
each instrument: |
|
| Please indicate the desired
difficulty of the Arrangement/Composition: |
Beginning(Grade
1)
Very
Easy(Grade 11/2)
Easy(Grade
2)
Medium
Easy(Grade 3)
Medium(Grade
4)
Medium Advanced(Grade 5)
Advanced(Grade
6)
|
| Please indicate whether you
used mellophones, marching french horn, or both:(Marching Band, Indoor
Brass and Drum Corps Only) |
Mellophones
Marching
French Horns
Both
|
| Please indicate your low brass
parts:(Concert band, Marching Band, Drum Corps, and Indoor Brass)
|
1 Trombone and 1 Baritone
2 Trombone and 1 Baritone
3 Trombone and 1 Baritone
1 Trombone and 2 Baritones
2
Trombones
2
Baritones
3
Baritones
4
Baritones
2 Baritones and 2 Euphonium
4
Euphonium
2 Baritones and 1 Euphonium
3
Euphonium
4
Euphonium
Other:
|
| Please Indicate Your Trumpet
Parts:(Concert Band, Marching Band, Drum Corps, Indoor Brass)
|
1st
Trumpet
1st
and 2nd Trumpet
1st and 2nd Trumpet(with splits)
1st(with
splits) and 2nd Trumpet(with splits)
1st,2nd, and 3rd Trumpet
1st(with splits),2nd, and 3rd
3
Parts with splits
|
| Please indicate your woodwind
parts:(Concert Band, Marching band) |
|
| Please indicate any other part
considerations: |
|
| Please indicate Battery
Percussion Parts:(Concert Band, Marching Band, Drum Corps, Percussion
Ensemble) |
|
| Please indicate keyboard, aux,
and pit percussion parts: |
|
| Number of Timpani: |
1
2
3
4
5
6
|
| Number of Marching Bass Drums:
|
0
1
2
3
4
5
6
7
|
| Tenor Drums: |
Single
Tom
Tom Tom
Tri-Tom
Quad Tom
Quint Tom
Sextet
|
| Additional Percussion Parts:
|
|
| What is the original music
that will be arranged?: |
|
| Will the Buyer be securing
arrangement permissions? |
yes
no
arrangement permissions?
|
| Will you need assistance
obtaining permission to arrange?(additional fee): |
yes
no
|
| (If Yes)Please Give the
Following Information: Name of Piece or Song, Composer, Artist,
Publishing Company(If known) |
|
| Please enter desired delivery
timeline: |
|
| Additional Information/Notes:
|
|
| |
