May 19, 2012

Lesson and Guitar Combo

Includes:

• 13 weeks of one on one professional lessons
• Your choice of electric, acoustic adult or child size guitar — FREE! (up to a $129 value)
• Welcome Kit - T-shirt, Folder, Picks - FREE! (regularly an additional $15 )

Please fill out the registration form, when you are done, you will be directed to the order page where you can choose your free guitar and learn more.

Student's Information

Please fill this section out as thoroughly as you can.

Your Full Name*

Student's Full Name (even if it's the same)*

Email Address*

Email Address Again*

Address*Please provide your full address: Street, City, State and Zip Code please

Phone*

Student's T-shirt Size

How many years have you played?

What are some good days of the week for your lesssons every week. (Hours: M-F 1 pm - 8 pm & Sat. 10 am - 4 pm.)*

Tell us what instrument and styles you are interested in learning.*

Intermediate or advanced player section

If you are an intermediate or advanced player, please complete these questions:

What Style?

Bands, player you play like, or are interested in playing like:

Referral Information

Please help us see where our marketing is working and give credit to people who referred you.

How did you hear of us? Please choose oneFriendGuitar CenterSam AshYellow PagesGoogleYahooAdvertismentOther

Referral DetailsPlease fill in details. If a friend of yours referred you, please allow us to thank that friend by supplying his or her name. If you heard about us through another channel, please be as specific as possible.

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