Asheville Guitar Summit

Registration Form

Saturday, March 25th, 2017

Register one of four ways:

1) Print this form, fill it out and mail it with your check, or call in your credit card information.
2) Fill out and email this form to us with your credit card information.
3) Fill out and email this form to us and call in your credit card information: rod@cymgard.com.
4) Register at the door. Cash, check or credit card.

Mail checks, money orders, and completed forms to:

Village Productions
P.O. Box 918
Weaverville, NC 28787
828-702-2007

Make all checks and money orders payable to: Village Productions

(We accept checks, money orders, credit cards, and cash.)

Email Us

View "Village Productions Store" Page

Class Options:
Registration is good for all day.		 Full Registration if paid by March 24: $75
Full Registration at the Door, March 25: $85
Partial Day Afternoon Registration rate, Enter at 1pm: $55
Special Music School Registration rate: Contact Us!
Donate to Our
Scholarship
Program:
(Tax Deductible)		 Early-Bird Tuition Donation @ $75 each.
Full Tuition Donation @ $85 each.
Partial Day Tuition Donation @ $55 each.
General Donation @ any amount.
Your Total Dollar Amount:
Payment Method: Mail in Check Credit Card Below I will Call it in
Credit Card Information:

(Credit Card refunds will be paid on net dollars after charging card)		 Name on credit card:
Credit Card Number:
Expiration Date:
CVV Security Code:
Minors (under 18) check your age: 17 16 15 14
What is your playing level?
 Never Played Before Beginner Intermediate Advanced Professional
What gauge strings do you prefer?
 Super Light Regular Light Medium Heavy
Would you be interested in a private lesson? YES NO
Where did you hear about the Asheville Guitar Summit?
 Asheville Express Asheville Citizen Times Other Local Paper
Radio Local Poster Local Music Store
From a Friend Music Teacher Internet Browsing
Other (please comment below)
Comment Section:
Your Information:
Date:
First name:
Last name:
Address:
City:
State:
Country:
Zip:
Phone:
Cell Phone:
Email:
Register:

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