Instrument Purchase Scheme Form View the full Cumbria County Council Privacy Policy Instrument Purchase Scheme Student DetailsStudent Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY School*Instrumental Teacher Name*Your Contact DetailsParent / Carer Name* Prefix Dr.MissMr.Mrs.Ms.Prof.Rev. First Last Home Address* Address 1 Address 2 Town County Post Code Email* Enter Email Confirm Email Contact Phone Number*Instrument DetailsInstrument Required*GuitarViolinViolaCelloDouble BassFluteClarinetOboeSoprano SaxophoneAlto SaxophoneTenor SaxophoneBass ClarinetBassoonCornetTrumpetFlugel HornFrench HornTenor HornTromboneBaritoneEuphoniumTubaModel NumberChosen Supplier*Supplier Website AddressSupplier Shop AddressInstrument List Price*You will be invoiced for the cost of the instrument without VAT. We will add an administration fee of £18.50 to your final invoice.PaymentYou will be invoiced for the cost of the instrument without VAT plus the £18.50 admin fee. PAY BY CHEQUE: payable to 'Cumbria County Council' or PAY ONLINE: www.cumbria.gov.uk/payonline/default.asp Contact Permission*We may occasionally want to get in touch by email to let you know about events organised by Cumbria Music Hub.Yes please, I'd like to hear about Cumbria Music Hub eventsNo thanks Having problems? Download the Booking Form and email to *protected email*