Flatpick & Bow Clinic

Registration Form

"Because You Want To Play Better"

Register one of three ways:

1) Print this form, fill it out, and mail it to us with your payment.
2) By hand, fill out the information from this form and mail it to us with you payment.
3) Fill out and electronically submit this form to us with your credit card information. We take all credit cards.

Mail checks, money orders, and completed forms to:

Village Productions
P.O. Box 816
Burnsville, NC 28714
siteworks@earthlink.net

Make all checks and money orders payable to: Village Productions

Your Flatpick & Bow Registration includes a Clinic Tee Shirt. All shirts are quality Haynes Tagless, 6.1 oz., 100% cotton. When registering, please choose your color and size. Additional tee shirts can also be ordered.

View "Clinic Store" Page

Class Options:
May 6 & 7, 2011
Full Registration Early-Bird rate until April 15: $285
Full Registration beginning April 16 @ $325
Friday @ $175
Saturday @ $200
2-day Observer (without an instrument): $125
Your Clinic Shirt:
(Included with Registration.)
Bluestone Pine Charcoal Heather M L XL 2XL 3XL
Addtional Clinic Stuff:
Flatpick & Bow Shirt @ $20 each. Bluestone Pine Charcoal Heather
M L XL 2XL 3XL

(If ordering multiple shirt colors and sizes; note in comment section:)

'The North Carolina Banjo Clinic Hat @ $16 each. One size fits all.
The North Carolina Banjo Clinic Bumper Sticker @ $4 each.
Flat Rate Media Rate Shipping Fee @ $7 each.
Your Total Dollar Amount:
Payment Method: Mail in Check Credit Card
Credit Card Information: Name on credit card:
Credit Card Number:
Expiration Date:
Minors (under 18) check your age: 17 16 15 14
What classes will you be attending? Flatpicking Guitar Mandolin Fiddle
You are free to study multiple instruments. Will you? YES NO
What is your playing level?
(Levels are described on the home page)
Novice Beginner Intermediate Advanced
What style do you prefer? Old Time Bluegrass Both
Where did you hear about our clinic?
Bluegrass Unlimited Fiddle or Guitar Hangout
Bluegrass Blog Local Music Store From a Friend
Bluegrass Association Old Time Herald Mandolin Cafe
Flatpicking Guitar Magazine Acoustic Musician Radio
Music Teacher Other (please comment below)
Comment Section:
Your Information:
Date:
First name:
Last name:
Address:
City:
State:
Country:
Zip:
Phone:
Cell Phone:
Email:
Register:

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