Rock Springs Workshop

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Name:*

Email:*

Church*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone #:*

Are there any choir members coming with you who do not need their own individual music preview package? If so, please list their names in the following area. We need this information for a headcount for the complimentary meal (limitations may apply).

All additional people wanting their own individual music preview package will need to submit a separate registration form.

Additional names

Registration Fee*

USDAmount Due $19.95 (music preview package included)

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Peck Music Publishing
P.O. Box 190 Spring Hill, TN 37174
info@peckmusicpublishing.com | 615-241-0558