Berkshire Music Institution
Enrolment Form
Name:
First Name(s):
DOB:
Sex:
Male
Female
Address:
Town:
County:
Postcode:
Telephone:
Mobile:
Email:
Course:
Piano
Keyboard
Singing
Other (*)
(*)If 'Other', please specify:
Session:
30 minutes
1 hour
Other (*)
(*)If 'Other', please specify:
Number of people:
Desired payment method:
Cash
Electronic
Cheque
Per session
Monthly
Desired payment frequency:
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After filling in the form, please click "Submitl" below. The form will then be sent to us and we will then contact you to discuss the details of your enrolment. Please do not hesitate to get in touch if you need further information. Please browse through our website at http://www.berkshire-music-institution.org.uk where you can find lots of useful information.
Thank you for your interest and trust in the Berkshire Music Institution. We look forward to welcoming you among our students.
Frankie, Co-ordinator.
© Berkshire Music Institution 2005