Suzuki Victorian Piano Certificates Level 2 4 Form 2008 (Page 2) - Free Online Doc

Suzuki - Victorian Piano Certificates Level 2 4 Form 2008 (Page 2)

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Suzuki - Victorian Piano Certificates Level 2 4 Form 2008

SUZUKI MUSIC

VICTORIAN PIANO CERTIFICATE APPLICATION FORM 2008

(BRENDAL, RUBINSTEIN AND HOROWITZ CERTIFCATES ONLY)

TEACHER'S NAME:

VICTORIAN PIANO CERTIFICATE FEES

BRENDEL Certificate $59

RUBINSTEIN Certificate $65

HOROWITZ Certificate $74

Piano Certificate entry fee includes performance at Piano Celebration Concerts. All prices include GST.

No.

First Name(s)

BLOCK LETTERS

Family Name

BLOCK LETTERS

DOB

Certificate

Rubinstein or

Piece(s) and Composer(s)

please ensure student's own choice pieces

have been submitted for Approval at least 2

weeks prior to Application deadline

FEES

TIMES TO BE AVOIDED FOR SPECIFIC STUDENTS (Live Performances) (EXCEPTIONAL CIRCUMSTANCES ONLY)

Please note that Live Performances are generally scheduled for the morning but may continue into the early afternoon.

Teacher's Authorising Signature: _______________________________________ Date: ____________________

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