Home Address: (Please print) Name________________________________________________ Address:_____________________________________________ City:________________________State_____ZIP_____________ Phone: ______________________________________________ E-mail:_______________________________________________

Mail to: Old Songs, Inc. PO Box 466 Voorheesville, NY 12186-0466 or Fax charges to: (518) 765-4248

OLD SONGS INSTRUMENT CLASSES • SPRING 2013 See www.oldsongs.org/classes.html for start dates Registration Deadline: Friday, March1 (Mtn. Dulcimer: Fri., Apr. 12)
6-week / 1 hour and 15 min. Class (check one or more)	@ $110/Class
____Beginning Piano Accordion • Tuesday, 6:00 - 7:15 pm . . . . . . . . . ____How to Jam • Tuesday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . . . . . . . . ____Clawhammer Banjo • Tuesday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . ____Beginning Fiddle • Thursday, 6:00 - 7:15 pm . . . . . . . . . . . . . . . . . ____Beginning Guitar • Wednesday, 5:45 - 7:00 pm . . . . . . . . . . . . . . . ____Beginning Mandolin • Thursday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . ____Beginning Mtn. Dulcimer • Tuesday 6:00 - 7:15 pm . . . . . . . . . . . . ____Interm. Mtn. Dulcimer • Tuesday 7:30 - 8:45 pm . . . . . . . . . . . . . ____Irish Pennywhistle • Wednesday, 6:00 - 7:15 pm . . . . . . . . . . . . . ____Music Theory • Wednesday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . . . ____Beginning Ukulele • Thursday, 6:00 - 7:15 pm . . . . . . . . . . . . . . . ____Interm. Ukulele • Thursday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . . .	$_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00
4-week after school class	@ $80/Class
____DrumSongStory • Tuesday, 3:30 - 4:30 pm . . . . . . . . . . . . . . . . .	$_____.00
TOTAL	$_____.00

Mail check or money order made out to Old Songs, Inc. or supply credit card info below by the Friday previous to your first class.
Old Songs, Inc. reserves the right to cancel any class should the minimum registration of 4 students not be met.
NO REFUNDS will be given for absences. If a student drops out after the first lesson, he/she may have a refund less $35
(the cost of one lesson plus the registration fee). NO REFUNDS will be given after the second lesson.

CREDIT CARD INFORMATION:     Mastercard____   VISA____

Card No:   __  __  __  __     __  __  __  __     __  __  __  __     __  __  __  __         Exp Date:  ____/____

Cardholder's Signature