Mother Goose Guitar
Printable Registration Form
Print, fill out and mail to:
Nancy Stewart6505 SE 28th St.
Mercer Island, WA 98040
Name:
____________________________________________________________
Address:
__________________________________________________________
City:
_____________________________________________________________
State:
________________________
Zip:
_________________________
Phone:
_______________________
Class Session Requested:
________________________________
Alternate Class Session:
_________________________________
Session Fee:
$110
OR deposit of
$20
to hold your place
Method of Payment:
Credit Card #:
_______________________________________
Expiration date:
_________________
Signature:
__________________________________________________________