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Weekly group drumming classes
Registration form
Proceed with prefered payment after submitting this form
First and Last name:
Tel:
Email address:
Item
Description
Amount

Qty
CLG6                     Package of 6 group drumming classes

(Class credit usable in every "class / city" for 6 months after the 1st class)
You can start attending classes anytime after we received your payment
(We DO NOT have sessions that start and finish at specific dates)
Alpha Rhythm Roots
Toll free: 1-866-496-7864
Tel: 416-473-0759
Fax: 416-351-0707
Email: info@alpharhythmroots.com
www.alpharhythmroots.com

All personal data will be kept confidential

Please fill-out the form below
(click "Submit" when ready to send)
Toll free 1-866-496-7864 or 1- (416) 473-0759
If you wish to keep a copy for your own record, please print before submitting the form
Payment options:

Copyright © 2002-2008 Alpha Rhythm Roots - All Rights Reserved - Web site designed by Alpha
Instruments:
$90
Includes:
-A free "Alpha Rhythm Roots" shirt
-A free one on  one introductory class (For Toronto  classes only)
Please specify:
- Your drumming level / backgroud (If any), 
-Whether you would like to use one of our djembe drum for free
(English or French)
How did you hear  from us:
Credit card:  Please call us (Visa over the phone) - Tel: 416-473-0759 after submitting this form
Cheque:  Please make a $90 cheque payable to: Alpha Rhythm Roots
Mail it to:  Alpha Rhythm Roots - 292 Dupont St - PO# 40003
Toronto Ontario  M5R 1V0  Canada
(Please make sure your full name appears on the cheque)
Email payment:  Please make your $90 email money transfer to: Alpha Rhythm Roots:
      info@alpharhythmroots.com
(Please make sure you use the same email address you used above)
Password:
Password you will be using
to make the email payment
(Required for email transfer only)
All our drumming location maps
Please provide the first 3 characters of your postal code :
(Optional - Statistical purpose only)
(Do NOT use any of these addresses to mail cheques)
Toronto classes
Guelph classes
Mississauga classes
Hamilton classes
Credit card
Cheque - Money order
Email money transfer
Flyer
Email
Internet Search engine
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Trade show / Event
Yellow pages
Store/ Retail location
Sales person
Other