MUSIC ONE STUDIOS · WHERE MUSIC IS TAUGHT

BEGINNING PIANO CLASS

REGISTRATION FORM

PLEASE PRINT, FILL OUT AND RETURN   (Bold Fields are Required)

Last Name:

Prefix:

First Name:

Suffix:

Address:

Address Line 2:

City:

Zip Code:

Home Phone:

Business Phone:

Cell Phone:

Web Page:

E-Mail Address:

Date:

Signature:

FEE: $140.00/mo (8 Week Class)

Day of Class: _______________

SPACE IS LIMITED - REGISTRATIONS ACCEPTED WITH PAYMENT

PAYABLE TO: JANET MURRAY

We are located OFF of YGNACIO VALLEY BLVD., BROADWAY, ONE-HALF BLOCK PAST POST OFFICE.

Our location information can be found on the Internet at: http://www.musiconestudios.net/html/location.htm

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