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 2012 See www.oldsongs.org/classes.html for start dates Registration Deadlines: FRIDAY BEFORE YOUR CLASS BEGINS
4-week / 1 hour and 15 min. Class (check one or more)	@ $80/Class
____Hammered Dulcimer • Thursday, 6:00 - 7:15 pm . . . . . . . . . . . . . ____Inter. Fiddle/"Bowing 747" • Tuesday, 6:00 - 7:15 pm . . . . . . . . .	$_____.00 $_____.00
6-week / 1 hour and 15 min. Class (check one or more)	@ $110/Class
____Beginning Piano Accordion • Tuesday, 6:00 - 7:15 pm . . . . . . . . . ____Clawhammer Banjo • Thursday, 7:30 - 8:45 pm . . . . . . . . . . . . . . . ____Beginning Fiddle • Thursday, 6:00 - 7:15 pm . . . . . . . . . . . . . . . . . ____Beginning Guitar • Wednesday, 5:45 - 7:00 pm . . . . . . . . . . . . . . . ____Irish Guitar Accompaniment • Monday, 7:30 - 8:45 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 . . . . . . . . . . . . . . . . . ____Ukelele • Thursday, 6:00 - 7:15 pm . . . . . . . . . . . . . . . . . . . . . . . .	$_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00 $_____.00
6-week Mtn. dulcimer Building & Playing (cost includes kit)	@ $152/Class
____Mtn. Dulcimer Building, Playing •Monday 4:00 - 5:30pm . . . . . . .	$_____.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