Home
|
About us & Hours
|
FAQ
|
Sales & Events
|
Service
|
Map/Directions
|
Contact Us
Ne
w
Pianos
Used Pianos
Digital Pianos
Accessories
Lessons
Form for Guitar Lessons
Who will the lessons be for?
Adult
Child
If child, how old?
_
4
5
6
7
8
9
10
11
12
13
14
15
16
Have you taken guitar lessons before?
No
Yes
Which style(s) of music do you like the most?
Classical
Jazz
Modern/Pop/Rock
Sacred
New Age
Broadway/Show
Country
Other
What type of guitar(s) do you own?
Accoustic Guitar
Electric Guitar
Both Accoustic & Electric Guitar
None, I have not purchased one yet.
Would you like one on one instruction or do prefer to be in group lessons?
One on One Instruction
Group Lessons
Currently new students are being accepted at our Salem and Portsmouth, NH music studio's, please select which location is best for you.
Salem, NH 03079
Portsmouth, NH 03801
Generally guitar lessons are given once a week. Pick as many days that would work best for you?
(The guitar instructor will call you later to work out the details and confirm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
When would you like to start the lessons?
Immediately
In 2-3 weeks
In 4-6 weeks
Contact Information
Contact Name
Students Name - if different from the contact name
Zip Code
Email (email will only be used to help expedite the enrollment process)
1st Phone #
2nd Phone #
Comments:
Home
|
About us & Hours
|
FAQ
|
New Pianos
|
Used Pianos
|
Digital Pianos
|
Player Pianos
|
Piano Lessons
|
Service Department
|
Accessories
|
Sales & Events
|
Company News
|
Map/Directions
|
Contact Us
Copyright ©2008 Londonderry Piano. All Rights Reserved.