Suzuki Violin Graduation Form 2005 Page 2
TEACHER'S NAME:
___________________________
Phone:
____________________
FEES
LEVELS 1 2 $42
LEVELS 3 5 $48
LEVELS 6+ $63
All prices include GST
Teacher's Authorising Signature: _______________________________________
SUZUKI MUSIC
A NON-PROFIT ORGANISATION
170 Southbank Blvd SOUTHBANK VIC 3006
9681 6933 Fax 9681 6977
info@suzukimusic.org.au
Suzuki Talent Education Association of Australia (Vic) Inc. Reg. No. A5744 ABN 14 080 413 955
M/ship
No.
First Name(s)
BLOCK LETTERS PLEASE
Family Name
BLOCK LETTERS PLEASE
DOB Grad
Lvl
Instr Fees
Total: $
