If you would like to make an appointment for flute and/or piccolo instruction, please complete and send the form below. Your name and e-mail address must be completed in order to insure that this form will reach us. If you do not wish to send this form via the Internet, you may also: 1.  FAX:   -   complete this form,                -   print it                -   then fax it to us at (301) 927-9569. 2.  PHONE:  (301) 779-7674 to verbally give us your order. Please be assured that all information you give us will be held in the strictest confidence and will not be shared with anyone else.

Repair Services Instrument Instruction About Us Frequent Questions Home Page

Name:     (required)
E-mail address:                     (required)
Title:
Type of Business:
Business/Organization:
Address:
City:
State or Province:
Zip Code:
Country:
Phone:
Fax (optional):
How did you find this Web site:

Instruction Request:

Date(s) Requested:

Time(s) Requested:

Instrument:      Flute     Piccolo

Interested in:   Private Lesson    Group Lesson  &  Master Class

Level(s) of Experience:

Interested in:   Tone Development    Problem Solving    Repertoire (Master Class)

Number of Participants (Group lesson or Master Class):

Age Span of Participants (Group lesson or Master Class):

Additional Information / Comments:

Thank you for your appointment request.   We will respond to you shortly.

  Return to Lagerquist Flute Service Home Page