Gift Certificate Form

How did you hear about us?*

Referral Name*

Your name:*

First NameLast Name

E-mail:*

Recipient's Name:*

First NameLast Name

Recipient's Age

Recipient's Email Address:

How to deliver gift certificate:*

Mail this gift certificate to me.Mail this gift certificate to the recipient.I will come pick up the gift certificate in person.Email this gift certificate as a pdf to me. I will print it.

Address for Mailed Certificate OR When will you pick it up?

Comments?

Gift Certificate Policy: Gift Certificates are not valid for Music Together Classes but can be used towards any other group class, camp, private lesson or retail.

Products

Recipients Choice$25.00CAD

Quantity

Recipients Choice$50.00CAD

Quantity

Recipients Choice$75.00CAD

Quantity

Recipients Choice$100.00CAD

Quantity

Four 30 minute Private Music Lessons and Registration Fee$185.00CAD

Quantity

Total $0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration