Special Plaque Enrollment Card
(Early Bach, Advanced Bach, Sonatina, Sonata, Founder)
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Please list names, type of plaque, and grade received ("C" over "A") for pupils who wish to apply for the special plaques (Early Bach, Advanced Bach, Sonatina, Sonata, Founder). Return this card with the fee of $23.50 per plaque plus a $6.50 shipping/handling fee, and a copy of each pupil's audition report card, stub and pre-approval form (by July 1 if you wish publication in Piano Guild Notes). The application fee of $23.50 includes the cost of the plaque but is not payment for express mail handling.
(Please Send After Auditions)
NAME OF PUPIL TYPE OF PLAQUE GRADE (C/A) FEE
1.______________________________________________
2.______________________________________________
3.______________________________________________
4.______________________________________________
5.______________________________________________
6.______________________________________________
7.______________________________________________
8.______________________________________________
9.______________________________________________
10._____________________________________________
11._____________________________________________
12._____________________________________________
13._____________________________________________
14._____________________________________________
15._____________________________________________
16._____________________________________________
17._____________________________________________
18._____________________________________________
19._____________________________________________
20._____________________________________________
+Shipping/handling fee $6.50
Total Fees $_______________________________________
Name of Teacher: _____________________________________
Address: _______________________________________________
City/State/Zip: ________________/____/_______
Email Address: ________________________________________
American College of Musicians
P.O. Box 9469, Austin, Texas 78766-9469