Registration form for Online Classes
(ROLAND MUSIC SCHOOL , KOLKATA)
Name *
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Mobile No. *
Address: *
City / Town: *
State: *
Country: *
Pincode: *
Course Level *
Choice of Instrument/Vocals
Clear selection
Duration : No of hours I would like to enroll for *
My preferred days *
My preferred timings *
Time
:
to *
Time
:
I understand that I will have to pay my Registration Fees Rs. 350/- per hour. (Eg. If I wish to enroll for 5 hours I pay Rs.350* 5 = Rs.1750) to complete Registration Process through *
Contact Us : *
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