Professional Development-March 2008
Name: ______________________________
Address:
_______________________________________________________________
Ph:
(w)__________________(h)_________________
School:_______________________
Background:______________________________________________________________
______________________________________________________________________________________________________________________
What I hope
to get out of the course:____________________________________________
________________________________________________________________________
Please
return the enrolment form with a $50.00 non refundable deposit a.s.a.p.
Full
payment of $450.00 is due on 05/03/08.
Please indicate method of
deposit payment CASH ¨ CHEQUE ¨ CREDIT CARD ¨
*please make cheques payable
to Music Works – Let’s Sing!
Credit card:
Please debit
my: VISA ¨ M/C ¨
__ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ Exp __ __ /__ __
In the amount of
$_____________ Signature
___________________________
Name on Card: _________________________
(Please complete, print out, sign and send or fax this sheet with payment)
The course has run for 12 consecutive years and twice in some
years according to demand.