National Cello Institute 2021 Registration Form

Instructions for on-line registration:

Fill out the Registration Form Required Fields COMPLETELY. Incomplete forms will not be processed!

WE DO NOT ACCEPT REGISTRATIONS BY MAIL.
Please fill out the form(s) online even if you intend to pay with a check.

Please submit a separate form for each student registering.

To pay by credit card complete and submit the registration form and click CHECKOUT after registration to be directed Authorize.net to complete your credit card payment. Your credit card will be charged for the full amount of tuitions and fees.
You may send a check for payment in full if you would prefer but your registration will not be processed until payment is received.

A 90% refund will be available until June 1. Refunds will be possible after June 1 if your place can be filled by a student on the waiting list.

Expect a response via email. Please give us a valid email address that you look at regularly. Do not accidentally delete our response as Spam - the subject line will read "NCI Registration Confirmation".

Allow one week for your registration to be processed. If you do not hear from us by then, please contact us immediately.
* Required ** Required for anyone signing up for a Course

* First Name:
* Last Name:
* Age:
* Gender:	Male Female
* Email:
* Confirm Email:
* Phone:

COURSES (choose only one)
Cello Course Books 1-4:	$350
Cello Course Books 5 and up:	$450
Warm-ups for Happy Cellists (Teachers only):	$200
Teacher Observation:	$0

ALL STUDENTS COMPLETE THE FOLLOWING
Teacher's Name:**
Teacher's Phone:
Teacher's Email:**
Current Piece:**
Last Three Pieces Studied:
Piece 1:**
Piece 2:**
Piece 3:**

Payment Method:	Credit Card Check No Payment Required
To pay by credit card, complete and submit the registration and then click CHECKOUT to pay on Authorize.net

Contact Us
E-mail: rick@nationalcelloinstitute.com

National Cello Institute
956 Sentinel Drive
La Verne, CA 91750
U.S.A

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