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Last modified: 08/08/2007
ADVANCE TO MUSIC
Schedule a FREE First Lesson.
If you are interested in starting piano lessons with Rosie Mace, please fill and submit this form.
Rosie will contact you as soon as possible / usually within 24 hours / to let you know whether
she has any current openings, and to answer any questions you might have. At that time you
can also schedule yours, or your child's free first piano lesson.
Your Name:
Your email address:
Your phone number(s):
Best time to be contacted
Myself

My Son

My Daughter
I am interested in piano
lessons for:
STUDENT INFORMATION:
Name of Student
Age
 Years Played Piano
Questions and
Comments: