Contact/Register

Studio Lessons Given At:
1622 NE Vine ST
Roseburg, OR 97470

Phone: 541 221 9181 (Dr. Wheeler's Cell Phone)
Studio Phone: 541 637 0107

Please fill out the form below indicating what kind of lessons you would like as well as any questions you might have.

* Indicates required field

Name *

First

Last

What Kind of Lesson Interests You? *

What Days and Times Work Best for You? *

Phone *

Email *

I Prefer to be Contacted By: *

Will you need to rent an instrument? *

Yes No

Comment (Please Include Child's Age if Applicable) *

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