Form

Beginners II Class - February 19, 2008 - 7:00 PM 877-YogaYou Participants must have completed the Beginners I Yoga Class.
First and Last Name: *
E-mail: *
Daytime Phone: *
Are You Pregnant? *
Unlimited Option: (Add $10) *	Yes No
Credit Card Number: *
Expiration Date: *
I authorize $68.00 ($78.00 if Unlimited Option is chosen) to be charged to my credit card to enroll me in this workshop. I also understand that payment is non-refundable and non-transferable.
If you wish to pay by check, please fill in all information, print the form and mail to: YogaYou, 1602 S. Pine Street, , Suite A, Cabot, AR 72023 Please mail at least 3 days before class start date.