REED ORGAN REGISTRATION FORM REED ORGAN SOCIETY, INC. PLEASE FILL IN THE INFORMATION BELOW AS COMPLETE AS POSSIBLE Owner's Name ( ) or person reporting ( ) __________________________________________ Address____________________________________________________________Zip______ Telephone Number (___)_______-___________________ Date __________ 19_________ Is this organ in a public building (Y/N)_____ If yes, where?________________________________________________________________ Photo enclosed (Y/N)_____ Is the organ in playable condition? (Y/N)_____ Make (Brand) of Reed Organ____________________________________________________ City of Maker_________________________________________________________________ Model or Style____________ Serial No. ________ Case Wood_________________________ Serial Number found on action ( ) elsewhere ( ) in a book ( ) (Booktitle) _____________________page____Comments? ____________________________ Other remarks?_______________________________________________________________ Year or Date Made_______________ Pitch: __________Compass: F__ or C____ Date indication found in organ ( ) :______________________________________ or year or date found elsewhere: ________________________________________ Stops break between Bass & Treble (Y/N)_____ if so, break at keys #____ &#____ Case Style: Wind: ( ) Lyre-leg Melodeon ( ) Suction ( ) "Piano" style Melodeon ( ) Pressure ( ) Baby ( ) Pumped by Foot ( ) Flat-top ( ) Handle ( ) Folding ( ) Blower ( ) Chapel (finished back) ( ) Piano Case ( ) Harmonium Number of keys: Pedal: ( ) Parlor (with or without top) ( ) 1 manual: ____ keys ( ) Flat ( ) Lap ( ) 2 or 3 mp ( ) Concave ( ) Rollplayer Great: ____ keys ( ) Radiating ( ) Two or three manual Swell: ____ keys ( ) with Pedal Pedal: ____ keys ( ) Other:___________________ PLEASE LIST STOP NAMES AND PITCHES, LEFT TO RIGHT: If a stopface is missing, leave a blank. Nr. If 1 manual: If 2 or 3 MP:Great Swell 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 9 9 9 10 10 10 11 11 11 12 12 12 13 13 13 14 14 14 15 Pedal: Choir/Solo: 16 1 1 17 2 2 18 3 3 19 4 4 20 5 5 Thank you for registering your reed organ. Any unusual features should be described. You'll receive a Registration Label, which can be affixed to the instrument. Your organ will be included in an historical account of extant reed organs. If you have a large collection, we can arrange to assist you. Your address and telephone number will NOT be included in computer-accessible files. ------------------------------- cut here --------------------------------------------- Return electronic form to don_swett@earthlink.net or: Don Swett, 595 S Alton Way Apt 3D, Denver, CO 80247, USA