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REGISTRATION
To register for the Pacific Piano Pedagogy course please download the registration form which is in MS Word format. Print and fill out the registration form, enclose your registration fee/s and mail to the address on the form, thank you.
The Pacific Piano Pedagogy Registration Form can be downloaded by clicking here.
Pacific Piano Pedagogy
3936 Emerald Place
Victoria, BC, Canada V8P 4T6
REGISTRATION FORM
Name ..............................................................................................
Address ....................................................................................................
.................................................................. Postal/Zip Code ..............................
Home Phone ( ) ................................. Work Phone ( ) ......................................
E-mail .........................................................................
In the following sections (A, B, C) please check ONE box only.
A Registering for
□ RCM Elementary Piano Pedagogy Certificate
□ RCM Intermediate Piano Pedagogy Certificate
□ RCM Advanced Piano Pedagogy Certificate
B Select from the following list the days and times which would suit your personal timetable:
All levels: Thursday mornings; Friday afternoons; Saturday mornings.
1st choice: ________________________________
2nd choice: ________________________________
3rd choice: ________________________________
C Method of payment
□ One payment of $960 for the full year.
□ Two equal payments of $480 each payable September 1 and February 1.
□ 10 post-dated cheque for $96 the first dated September 7, 2008 and thereafter the 1st of each month beginning
October 1st through June 1st inclusive.
I enclose a cheque for $35 payable to Susan de Burgh or Dr Michael Redshaw for registration fee and supplies.
Lesson fees are due payable by the start of classes.
Please sign ................................................................
Date ...........................................................................
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For office use only:
Received by ...........................................
Date ......................................................
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