Eccentric Musician Company

We are an artist growth and development company.

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Saturday, September 23, 2017

September 23, 2017

Music Lesson Interest

Thank you for your interest in our lesson studio located in Oxford, MA. Our mission is deliver quality lessons at reasonable rates. Please fill out this form to state your interest. Note; Some fields are a drop down menu.

Your First Name;*

Your Last Name;*

Your Zip Code*

Phone #;

Email Address;*

Where did you hear about us?*

Please note here who/what referred you;

Instrument of interest;*

Explain your experience on this instrument so far;*

Do you currently take lessons? *

What is your playing level?*

Do you play in a band?*

What are you looking to achieve?*

If you have a teacher in mind, please select him or her;

If you do not see your instrument please enter it here:

Please enter the code you see below into the box:

This is to help us filter spammers. Thank you!

Please enter the phrase above

 

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