Music Arranging Request Form
Once completed, a price quote and contract will be sent via e-mail within 2-3 business days.
| Client Name/Title | |
| School Mailing Address | |
| City/State/Zip | / / |
| E-mail address | |
| Office phone # | |
| Alternate phone # | (indicate cell or home) |
| Fax # | |
| School Classification: | A AA AAA AAAA AAAAA |
| Type of Marching Arrangement needed: | Full Band Score Winds only Percussion only (for band) Winter Drumline |
| Approximate Length of Chart(s): | 2 min. 3.5 min. 4 min. 6 min. 7.5min. |
| Difficulty Level: | Easy (Grade 1-2) Medium (Grade 3-4) Difficult (Grade 5-6) |
Chart(s) Requested for Arrangement:
(If less than four charts are requested, please type N/A in all open spaces)
| Title of Chart or Show | Composer | Name of Copyright Holder or Public Domain |
Other Information:
| Has permission already been granted from the Copyright Holder(s)? | Yes No N/A |
| Do you want BTM to help facilitate the permission request? (extra fee) |
Yes No N/A (For information on how you can seek permission, check out the Copyright Information page located on this website) |
| What is your preferred form of payment? |
Credit Card Check Money Order |
| How will payment be secured? |
School Purchase Order Band / Booster Fund Other |
| Can you provide one of the following to the BTM arranger? |
Copy of Original Source Score Copy of Piano Reduction Score Neither |
Important Dates:
| Expected Date BTM will receive Permission from Copyright Holder | |
| Requested Date for the completion and delivery of the charts | |
| Latest Acceptable Completion and delivery Date for the charts |
| Comments / Questions: |
  |
  |