NAMASTE MEMBERSHIPS
ANNUAL MEMBERSHIP - Unlimited yoga for one year.
Name:
*
Phone:
*
Send email confirmation to:
(email address)
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Choose your payment method:
$99 - monthly payment with a one-year commitment.
$550 - bi-yearly payment
$999 - yearly payment
Contact/Billing Information:
Name on Credit Card:
*
Company Name:
Address:
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City:
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State:
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
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Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip:
*
CC Type:
Visa
MasterCard
American Express
Novus (Discover)
Debit Card
CreditCard#
3 digit number on back of the card:
Expiration Month:
01
02
03
04
05
06
07
08
09
10
11
12
Year:
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
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