Rock Through The Ages Jamshop Registration
Name
*
First Name
Last Name
Instrument
*
Please Select
Electric Guitar
E-mail Address
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Please describe any past musical experience:
Do you have any song ideas from the 60s, 70s, 80s or 90s that you'd like the teachers to consider for this class?
If this is your first time in a She Rock class, how did you hear about us?
Payment- $199
Note: In the event you need to cancel, you must notify us by April 4th to receive a refund (less a $25.00 deposit). Use coupon code 'earlybird' to receive $20 off your registration if registering before March 14th.
Participant Name (this helps with our payment records)
*
Payment options
*
Paypal
Check
Pay by Check:
Please mail your check for $199 to: She Rock She Rock, 5115 Excelsior Blvd #316, Minneapolis, MN 55416. Checks must be received within three (3) business days of registration in order to hold your spot. Checks that are postmarked on or before March 14th can use the earlybird discount and can be written out for $179.
Pay by Paypal:
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Rock Thru Ages Jamshop
$
199.00
Tax deductible donation to help economically-challenged girls and women attend our programs
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