Date: ___ / ___ / ____
Name:______________________________________
Address: ___________________________________
City: ___________________ State: ________ Zip: ____________
Phone (home): _____________________ (other): ____________________
Email: ____________________________________
Birthday: _________________________
How did you find out about this workshop? _____________________________________
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Total due $ _______
Please make check payable to Sunrise Yoga Studio for full amount and drop off or mail to:
6000 Meadowbrook Mall Court, Suite 28 Clemmons, NC 27012
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