Lagerquist Flute Service - Flute & Piccolo Instruction & Repair Services


    FLUTE  &  PICCOLO  -  INSTRUCTION  APPOINTMENT  FORM

    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.



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    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.

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