GRADE 4-7 MUSIC PROGRAM ORDER FORM

This order form will allow you to purchase a pair of drumsticks, a ukulele and a tuner for up to two children in a family. If you require more than two sets of instruments please complete an additional order form.

Please pay online via PayPal or input your credit card information.

Parent full name *

First name of student 1 *

Last name of student 1 *

Grade level of student 1 *

4

5

6

7

First name of student 2

Last name of student 2

Grade level of student 2

4

5

6

7

How many?

	Pair of drumsticks (two drumsticks) $4.50
	Denver Brown Soprano Ukulele $58.00
	Snark N-6Tuner $12.00

Current Total:

C$0.00