| :: DIU Jazz Ensemble Registration Form To register over the phone by credit card simply call 516-826-7776 and speak with John Riolo. Give him your registration information and credit card details. You can also simply mail in your check. See the bottom of this page for check mailing details. Fall Semester September 10th, 2008 - May 13th, 2009 * Students must register no later than September 1st, 2008 Name _____________________________________________________ Street Address______________________________________________ City, State, Zip______________________________________________ Instrument_________________________________________________ Email Address_______________________________________________ Phone#____________________________________________________ Once accepted into the Jazz Ensemble, please print out this form, complete it and Do It Up Performing Arts Center |