Personal Information

Please fill in your contact information

First Name *

Last Name *

Email Address *

Phone *

Lesson Goals

What areas of your playing would you like to work on the most? *

Use this box to provide a more detailed description of your goals and playing challenges.

Lesson Times

Please provide 3 good times for your first SKYPE lesson. I will contact you personally by email with either a time that works or I'll call you to set up another time if none of the times provided is workable. If you are looking for a regular lesson time we'll sort that out on Skype (off the clock of course).

Date * +

Start Time *

Date * +

Start Time *

Date * +

Start Time *

Lesson Duration

Please define how often you would like to take a Skype lesson *

Please define the length of lesson you are looking for. Prices are in Canadian dollars. *

Lesson Duration

What method of payment do you prefer? *

Name on Card *

Credit Card Type *

CVV Code (3-4 digits on back of card) *

Credit Card Number *

Expiration Date (mm/yy) *

Please send your e-transfer to nealandrewbennett@gmail.com

Set the password to: TROMBONE