The key component here is the Sequencer. This maintains the sequence of notes to be played and steps from one set of notes to another on receipt of a timer tick. Once the last note has been played it repeats from the beginning.
The human ear is very sensitive to changes in timing of sounds, so it's important to use a regular beat for the timer. Standard Windows timers have a resolution of about 15 ms which is not quite good enough. Using the multimedia timer gives a resolution down to 1 ms and can be set to generate a periodic time tick with good consistency.
To simplify the audio output code MIDI synthesis is used. This avoids having to deal with analogue waveforms and keeps all audio in the digital domain. For this project the built-in Windows Microsoft GS Wavetable MIDI Synth is used. This is not the best sounding, but it allows up to 32 notes to be played simultaneously from a selection of 127 instruments and is adequate for our purposes.
The sequencer component can be run and tested independently. A sequence can be loaded using the SetNotes method which takes a 2-dimensional array of Notes and will then play that sequence in a loop until stopped.