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CAUTION: Please study this student enrollment form carefully. All information requested is of utmost importance. Write plainly and briefly.
NFSM Non-Refundable Dues: Pledge (EA-IB) $23.00 (IC-PD) $24.00 (CA-YA) $28.00; Local (EA-IB) $24.00 (IC-PD) $27.00 (CA-YA) $29.00; District (EA-IB) $25.00 (IC-PD) $29.00 (CA-YA) $30.00; State (EA-IB) $27.00 (IC-PD) $31.00 (CA-YA) $32.00; National (10 pieces): (EA-IB) $29.00 (IC-PD) $33.00 (CA-YA) $35.00; (11-12 pieces): (EA-IB) $30.00 (IC-PD) $34.00 (CA-YA) $36.00; (13-14 pieces): (EA-IB) $31.00 (IC-PD) $35.00 (CA-YA) $37.00; International (EA-IB) $33.00 (IC -PD) $36.00 (CA-YA) $38.00; Duet (1 Duet EA-IB) $22.75 (IC & above) $23.75; (2-3 Duets EA-IB) $24.75 (IC & above) $25.75; Ensemble (1 Ensemble EA-IB) $25.00 (1 Ensemble IC & above) $26.00; Hobbyist (1-4 pcs. EA-IF $25.00 (PA-CD) $30.00; (5-8 pcs. EA-IF) $30.00 (PA-CD) $35.00; Social Music Test $25.00; High School Diplomas $60.00; High School Diplomas in Social Music $50.00; Collegiate & Young Artist Diplomas $70.00; Early Bach $35.00, Advanced Bach $40.00, Sonatina $35.00, Sonata programs $40.00 plus $20.00 upon plaque application; Founder Plaque $20.00; Teacher Conference $20.00.
20__ National Piano Playing Auditions Student Enrollment Card
Names in Alphabetical Order: (Highlight Duet and Ensemble programs in "Yellow" and list performers together) ___________________________________________
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1__________________________|___|___|___|___ 2__________________________|___|___|___|___ 3__________________________|___|___|___|___ 4__________________________|___|___|___|___ 5__________________________|___|___|___|___ 6__________________________|___|___|___|___ 7__________________________|___|___|___|___ 8__________________________|___|___|___|___ 9__________________________|___|___|___|___ 10_________________________|___|___|___|___ 11_________________________|___|___|___|___ 12_________________________|___|___|___|___ 13_________________________|___|___|___|___ 14_________________________|___|___|___|___ 15_________________________|___|___|___|___ 16_________________________|___|___|___|___ 17_________________________|___|___|___|___ 18_________________________|___|___|___|___ 19_________________________|___|___|___|___ 20_________________________|___|___|___|___ 21_________________________|___|___|___|___ 22_________________________|___|___|___|___ 23_________________________|___|___|___|___ 24_________________________|___|___|___|___ 25_________________________|___|___|___|___ 26_________________________|___|___|___|___ 27_________________________|___|___|___|___ 28_________________________|___|___|___|___ 29_________________________|___|___|___|___ 30_________________________|___|___|___|___
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Please Print this page out and mail it to us. ________________________________
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