Old Songs Class Order Form

Women's Music Circle 2011 • Registration Form - Print from your browser
March 19, 2011
Old Songs, Inc., PO Box 466, Voorheesville, NY 12186-0466 • E-mail: oldsongs@oldsongs.org
For INFORMATION or TELEPHONE ORDERS: 518-765-2815. FAX: 518-765-4248

Home Address: (Please print)

Name________________________________________________

Address:_____________________________________________

City:________________________State_____ZIP_____________

Phone: ______________________________________________

E-mail:_______________________________________________

Mail to:
Old Songs, Inc.
PO Box 466
Voorheesville, NY 12186

or Fax charges to:
(518) 765-4248

REGISTRATION

Event
# of Registrants
Cost

____$40 Saturday Intensive, 10:00 am to 5:30

____$20 Concert (Sat. 8:00 pm)

____$60 Fri. eve, All day Saturday & Concert

x ________ =

x ________ =

x ________ =

$______.00

$______.00\

$______.00

TOTAL

$_____.00

Mail check or money order made out to Old Songs, Inc. or supply credit card information below.

CREDIT CARD INFORMATION:     Mastercard____   VISA____   Discover____

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

Cardholder's Signature

REGISTRATION
Event	# of Registrants	Cost
____$40 Saturday Intensive, 10:00 am to 5:30 ____$20 Concert (Sat. 8:00 pm) ____$60 Fri. eve, All day Saturday & Concert	x ________ = x ________ = x ________ =	$______.00 $______.00\ $______.00
TOTAL		$_____.00

CREDIT CARD INFORMATION: Mastercard____ VISA____ Discover____
Card No: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp Date: ____/____
Cardholder's Signature