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Instrument Usage Form
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�First Name
*
Your answer
Last Name
*
Your answer
Phone #
Your answer
Email Address
*
Your answer
Program
*
Ex). Violin, Voice, Piano etc.
Your answer
Student ID
*
Your answer
The instrument you are requesting
*
Grand Piano (Mahanaim Hall)
Grand Piano (Auditorium)
Percussion Instrument
If you are requesting a percussion instrument, please select all the instruments that you want to use
Marimba
Timpani
Snare drum
Drum
Chime
Xyllophone
Vibraphone
How long do you want to borrow the instrument(s)?
One-time
Long-term (one term)
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