Advanced Program (Book 5+)
12.30 - 5.15
4 Classes and Concert
Tutorial (Melancholic Fantasy
Standard Program (Books 1 - 4)
1.30 - 5.15
3 Classes and Concert
Repertoire Classes will include a review of the repertoire to be
performed in the Grand Annual Concert on Sunday 11 September.
Don't forget to register for the Grand Annual Concert . Registration
forms can be included with your workshop enrolment form.
170 Southbank Blvd Southbank VIC 3006
(03) 9681 6933 Fax (03) 9681 6977 Email firstname.lastname@example.org
Suzuki Talent Education Association of Australia (Vic.) Inc. A5744 ABN 14080413955
Please return this form with payment to Suzuki Music by Friday 15 July.
Please complete a separate form for each child. More forms are
available from your teacher or at www.suzukimusic.org.au
Student's Name ______________________________________ DOB __________
Parent's Name _______________________________ Memb No. ___________
Teacher ______________________________________________ Book ________
Piece ___________________________________Composer ___________________
I would like to register for :
Advanced Program $75
Standard Program $60
Yes, I volunteer to do a small task for the workshop
No, sorry, next time
You must be a financial member of Suzuki Music to participate in this
event. You may attach a completed membership form to this application.
Please assist organisers by ensuring that this form is correctly completed.
Incomplete forms will be returned .
Cancellations received by Friday 15 July will be refunded less a $15
administration fee. No refunds will be made after this date.
TOTAL $ _______________
Cheque Credit Card* (Bankcard/Mastercard/Visa)
* Credit Card transactions will incur an additional 3% surcharge
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
_ _ / _ _
Cardholder's Name ___________________________________________