MAIL OR FAX REGISTRATION FORM
	MR./MS. NAME (LAST/FIRST/M.I.) ADDRESS CITY/STATE/ZIP TELEPHONE DAY EVE. EMAIL SOCIAL SECURITY # BIRTHDATE
				Check/money order payable to School of Church Music Mail payments to: SOCM Post Office Box 9252 Savannah, Georgia 31412-9252 Refer any questions concerning payments or billing to admissions@schoolofchurchmusic.org or call 912-247-3424.
			COURSE # SECTION COURSE TITLE INSTRUCTOR TUITION