| State |
|
| Home Phone with Area Code |
|
| Are you currently taking
lessons at Music Matters? |
Yes
No |
| How did you hear of us? |
|
| Please check
session date(s) you would like to have your
child attend. Please select at least one session: |
Session 1:
6/04/12 - 6/08/12 Roswell High School,
Roswell: $449
|
Session 2: 6/11/12 - 6/15/12 Roswell High
School, Roswell: $449
|
Session 3: 6/18/12 - 6/22/12 Roswell High
School, Roswell:$449
|
|
Multiple
Week Savings:
Register for multiple weeks
and receive a discount!
Total Fee:
2 Weeks - $850
3 Weeks - $1,200
4 Weeks - $1,400
Discounts are applied
at the time your credit card is charged and
will not appear on this online form. |
| Credit Card Type |
VISA
MasterCard
Discover
American Express |
Expiration Date
(mm/dd/yr) |
|
| State |
|