1.Full name

2.Email address

3.Mobile number

4.Nominated street and postcode

5.In 100 words, tell us why the orchestra should come and perform on your street or in your area

6.Preferred time of year for the performance

7.Any additional notes (max 50 words)

8.Permissions

I give the CBSO permission to use my contact details to contact me about this opportunity.

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