ABCDEFGHIJLMNOPQRSTUVWXYZAAAB
1
Yoga 4 Classrooms, LLC: 2 Punkintown Rd., Suite 341, South Berwick ME 03908
2
603-766-4483
3
Download our W9 Form here.
4
If using a purchase order, please add the purchase order processing fee: $10 for 2 registrants, $25 for 3 or more.
5
6
Instructions:
7
1) DOWNLOAD THIS FORM.
8
2) THOROUGHLY COMPLETE ALL FIELDS BELOW.
9
3) EMAIL THE COMPLETED FORM (and PO, if relevant) to: lisa.flynn@yoga4classrooms.com.
10
4) Within 2 business days, the billing contact below should expect to receive an invoice via email.
11
5) Once the invoice is paid or the PO received, participants will be officially registered. For the self-paced course, access will be provided at that time.
12
13
Is this order associated with a purchase order? YES OR NO
14
15
Training / Course Name & Date Here:
16
17
Main Contact Name (School Organizer):
18
Role/Title:
19
School/Org Name:
20
School/Org Address:
21
Email Address:
22
Phone Number:
23
24
Billing Contact Info (if different):
25
Role/Title:
26
School/Org Name:
27
School/Org Address:
28
Email Address:
29
Phone Number:
30
31
32
First NameLast NameEmailRole/GradesSchool Name & AddressPhoneTuition - see course page
Foundational course certificate date/location (IMPLEMENT only)
Packet Mailing Address (IMPLEMENT only)
33
1
34
2
35
3
36
4
37
5
38
6
39
7
40
8
41
9
42
10
43
11
44
12
45
13
46
14
47
15
48
16
49
17
50
18
51
19
52
20
53
Add more rows as needed.
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100