School Band & Orchestra
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 1234567-WAS
MR JOHN SMITH
STORE MANAGER
1101 CONNECTICUT AVE NW
WASHINGTON, DC 20036

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Name and Address Information:
SCHOOL ADDRESS:
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Middle:
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1.) What is your primary educational institution/business? (Check one):
(01) Senior High
(02) Junior High
(03) Middle School
(04) Elementary School
(05) College/University
(06) Manufacturer of musical instruments
(07) Retailer/dealer of musical instruments
(08) Music Publisher
(09) Other (Please Specify):

2.) What is your position? (Check one):
(11) Band director
(12) Orchestra director
(13) Choir director
(14) Assistant director
(15) Music teacher/instructor
(16) Owner/executive
(20) Other (Please Specify):

3.)What type of bands/orchestras are you responsible for? (Check all that apply):
(MB) Marching band
(CB) Concert band
(JB) Jazz band
(WE) Wind Ensemble
(OR) Orchestra
(ZZ) Other (Please Specify):

4.)What is the total enrollment of your school? (Check one):
(A) 0 - 500
(B) 501 - 1000
(C) 1001 - 2000
(D) Over 2000

5). Are you a: (check only one)
(E) Public School
(F) Private School

6). Total number of Music Students:
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What is the last digit of the year you were born?