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Schools Liaison Loans Service -Booking form 2003/2004
please print out and fax back to us

Name
School
Address
Telephone

Loan Period
Preferred day of collection and return.
Please tick one box per half term.

LOAN REQUIRED (max 4) Autumn term 03 (1st half)
 
 
 
 
Mon 8 Sept - Mon 20 Oct  
Tues 9 Sept - Tues 21 Oct  
Wed 10 Sept - Wed 22 Oct  
Thur 11 Sept - Thur 23 Oct  
LOAN REQUIRED (max 4) Autumn term 03 (2nd half)
 
 
 
 
Mon 3 Nov - Mon 8 Dec  
Tues 4 Nov - Tues 9 Dec  
Wed 5 Nov - Wed 10 Dec  
Thur 6 Nov - Thur 11 Dec  
LOAN REQUIRED (max 4) Spring term 04 (1st half)
 
 
 
 
Mon 12 Jan - Mon 9 Feb  
Tues 13 Jan - Tues 10 Feb  
Wed 14 Jan - Wed 11 Feb  
Thur 15 Jan - Thur 12 Feb  
LOAN REQUIRED (max 4) Spring term 04 (2nd half)
 
 
 
 
Mon 23 Feb - Mon 29 Mar  
Tues 24 Feb - Tues 30 Mar  
Wed 25 Feb - Wed 31 Mar  
Thur 26 Feb - Thur 1 Apr  
LOAN REQUIRED (max 4) Summer term 04 (1st half)
 
 
 
 
   
Mon 19 Apr - Mon 24 May  
Tues 20 Apr - Tues 25 May  
Wed 21 Apr - Wed 26 May  
Thur 22 Apr - Thur 27 May  
LOAN REQUIRED (max 4) Summer term 04 (2nd half)
 
 
 
 
Mon 7 June - Mon 5 July  
Tues 8 June - Tues 6 July  
Wed 9 June - Wed 7 July  
Thur 10 June - Thur 8 July  

Please state your first choice/topic. If these are fully booked we may offer alternative loans.
We will send you confirmation of loans booked for you, with date of collection and return.

Return to: Jan Anderson, Schools Liaison,
Birmingham Museum and Art Gallery,
Chamberlain Square,
Birmingham, B3 3DH
Tel: 0121 303 3890
Fax: 0121 303 1337

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