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The Middle C

COST CALCULATION SHEET

Tutorial Kit
Registration Fee
Flat Monthly Fee (FMF)/_____

_____
_____
_____

Prorated Tuition (PT)/____

_____

_____

Additional sessions (AS)


Piano Books (PB)/# of books __

_____
_____

_____
_____

Curriculum: ___ Other: _________


Supplementary Music (SM)
See back page for details.

_____

_____

Late Payment: _____________

Name: _________________________ Date:


_________
Tutorial Kit
Registration Fee
Flat Monthly Fee (FMF)/_____

(i.e. 4 sessions x 150.00)


Prorated Tuition (PT)/____
(i.e. # of sessions __ x 150.00)
Additional sessions (AS)
Piano Books (PB)/# of books __
Curriculum: ___ Other: _________
Supplementary Music (SM)
See back page for details.

Late Payment: _____________


(i.e. 2% of balance due/3days delay)
See back page for computation.

Late Cancellation Fee


No Show Penalty
Other: ____________________
Other: ____________________
TOTAL

Name: _________________________ Date:


_________

_____
_____
_____

_____
_____
_____
_____
_____

======

(i.e. 4 sessions x 150.00)

(i.e. # of sessions __ x 150.00)

(i.e. 2% of balance due/3days delay)


See back page for computation.

Late Cancellation Fee


No Show Penalty
Other: ____________________
Other: ____________________
TOTAL

_____
_____
_____
_____
_____

======

The Middle C
COST CALCULATION SHEET

The Middle C
COST CALCULATION SHEET

Tutorial Kit
Registration Fee
Flat Monthly Fee (FMF)/_____

_____
_____
_____

Prorated Tuition (PT)/____

_____

_____

Additional sessions (AS)


Piano Books (PB)/# of books __

_____
_____

_____
_____

Curriculum: ___ Other: _________


Supplementary Music (SM)
See back page for details.

_____

_____

Late Payment: _____________

Name: _________________________ Date:


_________
Tutorial Kit
Registration Fee
Flat Monthly Fee (FMF)/_____

(i.e. 4 sessions x 150.00)


Prorated Tuition (PT)/____
(i.e. # of sessions __ x 150.00)
Additional sessions (AS)
Piano Books (PB)/# of books __
Curriculum: ___ Other: _________
Supplementary Music (SM)
See back page for details.

Late Payment: _____________


(i.e. 2% of balance due/3days delay)
See back page for computation.

Late Cancellation Fee


No Show Penalty
Other: ____________________
Other: ____________________
TOTAL

Name: _________________________ Date:


_________

_____
_____
_____

_____
_____
_____
_____
_____

======

The Middle C
COST CALCULATION SHEET

(i.e. 4 sessions x 150.00)

(i.e. # of sessions __ x 150.00)

(i.e. 2% of balance due/3days delay)


See back page for computation.

Late Cancellation Fee


No Show Penalty
Other: ____________________
Other: ____________________
TOTAL

Calculation/Details:

_____
_____
_____
_____
_____

======

Calculation/Details:

Calculation/Details:

Calculation/Details:

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