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On-line Application to
Performance Power Marathon Seminar

Complete Your Application Online
You may submit an on-line application to a Performance Power Marathon Seminar by using the form below and clicking on the Submit button.  After submitting your application, you will receive a confirmation letter with a link  to pay for the Seminar through our secure, on-line payment processor - PayPal.  Click on the link to complete the application process. 

FILL OUT THIS SECTION FOR THE JACKSON, MS SEMINAR
First Name: 

Last Name:      Age:

Address: 
City:

State:  

  Zip:
Postal Code

Country: 

Phone: E-mail:    
Instrument:
Choose

JACKSON, MISSISSIPPI
October 6 - 7, 2012 - Jackson, MS

Applying  as:  Participant ($125 )
                              Auditor (For both Days:  $75)

If Auditing only one day, please choose the day below ($50/day):
Saturday, October 6, 2012   Sunday, October 7, 2012

Will pay by check. (If check is drawn on a foreign bank, it MUST have U.S. affiliate branches.)

           (I understand my place is not secure until payment is received.)

Mail to:  
Performance Power
817 West End Avenue - #11B
New York, NY 10025

Private Lesson
For Jackson, Mississippi - October Seminar,
Call Marta Szlubowska-Kirk in Jackson, MS
at (601) 206-6634 to arrange a lesson time.

Show your interest  here by marking the checkbox and hit the submit button at the end of this section to send it along to us. 

  I am interested in a Private Lesson.

Approximately how  many hours would you be interested in?  

Professional, or school affiliations:

Career goals:
Problems as a practicer:

 

Apply by Mail

Open and print the Performance Power Marathon Seminar application
by clicking on the button below.  Mail-in payment instructions are included on the application.

You will need Acrobat Reader version 4.0 or higher to open the Performance
Power Marathon Seminar printable application.
Please click on the icon below to download it free from Adobe.

Contact Us

For additional information
 Phone :  (212) 662-6634.
Fax:  (212) 662-2916
 E-mail

Mailing Address: 
  Performance Power
817 West End Avenue - #11B
New York, NY 10025

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