Suzuki Voice Graduation Form 2007 Page 2
TEACHER'S NAME:
__________________________________________________
Phone:
__________________________
Live Graduations will be held on Saturday 18 August at the Studio of Katrina Pezzimenti , time to be advised
FEES
LEVELS 1 2
$47 +
ACCOMPANIST $12
LEVELS 3 5
$54 +
ACCOMPANIST $16
LEVELS 6
$67
+ ACCOMPANIST
$21
LEVEL 7+
$67
+ ACCOMPANIST
POA
(All prices include GST)
M/ship
No.
First Name(s)
BLOCK LETTERS
PLEASE
Family Name
BLOCK LETTERS
PLEASE
DOB
Grad Lvl
Instr
Live/
Tape
FEES
Grad Accomp.
Sub-total
A B
TOTAL
(A + B)
TIMES TO BE AVOIDED FOR SPECIFIC STUDENTS (Live Graduations) (EXCEPTIONAL CIRCUMSTANCES ONLY)
NAME
REQUEST
Teacher's Authorising Signature: ______________________________________________ Date:
___________________
