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Suzuki - Grad Concert App 2004

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Suzuki - Grad Concert App 2004
GRADUATION CONCERT 2004
Yes! I would like to perform at the Graduation Concert
Graduating Pianists performing as soloists do NOT need to fill in this form
Name
Memb. No.
Instrument
Teacher
The most advanced piece I will play at the concert is
(see poster for list of pieces)
If you wish to play two instruments in this concert please discuss with your teacher
Remember - you need to be a current financial member of Suzuki Music to participate.
Please return this slip to the Suzuki Music Office by Friday 8 October 2004
SUZUKI MUSIC
170 Southbank Blvd Southbank VIC 3006 Ph (03) 9681 6933 Fax (03) 9681 6977
info@suzukimusic.org.au
Suzuki Talent Education Association of Australia (Vic.) Inc. ABN 14 080 413 955
SUZUKI GRADUATION CONCERT 2004 ­ TICKET ORDER FORM
Name _______________________________________________________ Phone_____________________
Address __________________________________________________________ Postcode____________
_____ Adult @ $25 =
$
_______
_____ Children @ $13
=
$ _______
_____ Grandparent/
Special Friend @ $13 =
$ _______
_____ Family @ $63
=
$ _______
(2 Adults and 2 Children)
_____ Performers @ $0
=
$ 0.00
(must be registered on form above)
TOTAL
(all prices include GST)
$
______
PAYMENT DETAILS:
Cheque [Payable to Suzuki Music]
Credit Card VISA/BANKCARD/MASTERCARD
Card Number
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiry Date
_ _ / _ _
Cardholder's Name ____________________________ Signature_______________________________
Orders received by Wednesday 13 October
will be mailed to the address given. For
orders received after this date, tickets will
be held at the door for collection on the
concert day.
PLEASE NOTE THAT TICKET ORDERS
ARE NON-REFUNDABLE.





Other Documents:
PD 14 March 2004, PDApplication Form, PD Calendar 2004, Piano Pulse Workshop, Auditionform 2005 PDF 001, Teacher Trainee Membership 2004, Volunteering with Suzuki Music, 147174 Swift, 147177 Grand Vitara, 147179 Liana, jobs, 2002 bandit, 2002 dl 1000 all, 2002 gs 500, 2002 lc, 2002 ltz 400, 2002 oil chemicals, 2002 ozark, 2002 racer apparel, 2002 style performance, 2002 sv 650, 2002 tl 1000, 2002 vl, gdsch 03, frm mx 03, bro gsx 1000, app, 2002 gsxr, 2002 hayabusa, 100 Gas Card Promo, Suzuki Entry, Good Scholar Form, MXCB 04 Form, OFFROAD 04 Form, frm mx, frm mx 01, frm offrd, bro kingquad, bro qu 160, bro int 800, bro mar 800, bro sav 650, bro dr 200, bro tl 1000s, bro gsx 600, bro gsx 750, bro qu 400, bro qu 400f, bro qu 4wd, bro qu 500,

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