Bass Lessons By Correspondence Enrollment

Thanks for your interest in my bass lessons by correspondence! The information that you provide by completing and submitting this short form will assist in assembling a program that will be specifically designed to meet your particular needs and achieve your goals.

* - Required

* Name:

* E-mail Address:

Street Address:

City:   State/Province:

Zip Code:   Country:

Age:

* Musical Background Information


* What Goals Would You Like To Accomplish With My Lessons?


* What Is Your Playing Level?
Beginner
Intermediate
Advanced

* What Is Your Primary Instrument?
4-String
5-String
6-String
Acoustic Upright
Other

* What Is Your Ability To Sight Read Standard Music Notation?
Beginner
Intermediate
Advanced

* How Frequently Do You Want To Receive New Lesson Material?
Weekly
Bi-Weekly (recommended)
Three Weeks

Other Information (main influences, performances, etc.)


How Did You Learn About My Correspondence Lessons?
Search Engine
Magazine Ad
Another Web Site
From A Friend
Other