East Tennessee State University's Summer 2009 Instrument Conducting Symposium

ETSU Department of Music - Bands

June 14 - 18, 2009 at East Tennessee State University

This is not a secure site, but the registrant may call in or fax this information using a credit card number.

This form may be submitted online, called in, or printed and mailed or faxed.  

If you submit this form with a credit card number, you do so at your own risk. 

The mailing address is:  East Tennessee State University, Office of Professional Development, Box 70559, Johnson City, TN  37614

The fax number is 423-439-8267 

The phone number is 423-439-8084 or 1-800-222-3878                Hit Counter

1.      Please provide the following contact information:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

Instrument(s) you play

1.  Please select registration option:

2.  Please select housing option, if necessary:

 

Please indicate # of nights housing is needed:      Beginning date: 

Please provide name of roommate if requesting double occupancy.

3.  Full ensemble choices (Graduate level - choose 3; Undergraduate level - choose 2):
(Press "Ctrl" key for multiple selections)

**Conducting participants must have their own scores; Scores can be ordered/purchased at JWPepper or Shattinger Music.

4.  Chamber ensemble (Graduate level - choose 2 movements; Undergraduate level - choose 1 piece or movement):
(Press "Ctrl" key for multiple selections)

**Conducting participants must have their own scores; Scores can be ordered/purchased at JWPepper or Shattinger Music.

5.   Choose one of the following payment options: 

 

Charge Card Number 
Expiration date:

Name on Credit Card

Be sure to print your confirmation for your records. 

Cancellation/Refund Policy:

No refunds will be issued. Substitutions permitted within a 48 hour notice of the beginning class date. 

 

Darla Dye, Program Coordinator ETSU Office of Professional Development
Copyright © 1999 . All rights reserved.
Revised: March 27, 2009