APPLICATION
FORM
Applications will be accepted on a first-come first-serve basis space permitting. You may
fax or mail us your completed application form. All applications must be accompanied by
payment in order to be processed.
Payment Policy: Payment in full is preferred and may be made by cheque, money order, or
credit card. All students residing outside of Canada must pay by credit card or money order.
Paying by cheque or money order: For those students paying by cheque or money order,
a convenient installment plan is available as follows:
• A minimum deposit of $350 per session will be accepted with the application form.
The remaining balance shall be due in two equal payments on or before May 1, 2010
and June 1, 2010.
• Subject to space availability, applications will still be accepted after June 1, 2010, how-
ever, the full tuition fee must accompany the application form.
Paying by credit card: The full tuition amount will be charged when the application is
received. We accept Visa and MasterCard.
GUITAR WORKSHOP PLUS
99 Queen Street South, Mississauga, Ontario, Canada L5M 1K7
Please print clearly, complete all information and send applications to
Phone: (905) 567-8000 • Fax: (905) 785-2831
Website: www.guitarworkshopplus.com • Email: info@guitarworkshopplus.com
Please note: All credit card registrations are charged the full tuition amount in Canadian dollars.
If paying by cheque, please mail full payment or a deposit of $350 per session and post-dated
installment cheques along with your application. Outstanding balances not paid by June 1, 2010
are subject to a late fee. Upon receipt of a notice of cancellation in writing before May 1, 2010, total
payment received minus a $250.00 cancellation fee is refundable. Cancellation notices will only
be accepted via registered mail. After May 1, 2010, all fees are non-refundable.
Student Name: ____________________________________________________________
First Last
Age: ___________ Gender: Male Female
Name of Parent/Guardian: ________________________________________ (if under 18)
Address: ________________________________________________________________
City: ____________________________________________ Prov./State: _____________
Country: __________________________________ Postal/Zip Code: ________________
Telephone (Res):______________________________ (Bus):_______________________
E-mail: __________________________________________________________________
How did you hear about our program? Please Specify (Include Name)
Advertisement Teacher Music Store Web Site Friend Other
__________________________________________________________________
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Tel. 905.567-8000
