West L.A. Music & Ampeg Present

Tim McCord In-Store Appearance & Bass Clinic RSVP Form

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Please select a date:
*Your Name:
Address:
City:
State:
Zip:
Phone #:
Company:
*Email:
Your Salesperson:
Please add me to your mailing list.
Instruments Played:
How did you hear about this event?
Guitar
Bass
Drums
Keyboard / Synth
Brass/Woodwind/String
DJ
Vocals
Postcard / Mailer
Facebook
Phone Call from West L.A. Music
Walked in to West L.A. Music
Email
Website
Word of mouth
L.A. Weekly
Other 
*Required Fields


West L.A. Music will never share your information.