School Program Info/Supply Preference Form

503.809.0777
1703 Pacific Ave
Forest Grove, Or 97116

Information Request Form

Complete this survey so we can better serve your school!

Band Program Info/Preferences

School District*

School Name*

Does your school host rental nights?*

Please specify any method books that you use

Please list your preferred brand(s) of reeds and strength (for beginning band)

Please list your preferred valve oil(s)

Please list any preferred mouthpieces (if any)

Please list your preferred tuning slide grease

Please list your preferred trombone handslide lubricant

Preferred method of contact*

Email*

Cell phone number

Prep period time/day

Would you like us to stop by weekly?

Are student required to purchase their own supplies?

*Other, please describe

Suggestions, or other comments:

Percussion kit preference (Bell kit brand, with/without snare, sticks/mallet preferences)

“Where words fail, music speaks”
-Hans Christian Andersen

1703 Pacific Avenue
Forest Grove, Oregon 97116

info@andersen-music.com
(503) 809-0777

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