Studio Partner Application

All fields marked with an asterisk * are required

* Studio Name:

* Contact First Name:

* Contact Last Name:

* Address Line 1:

Address Line 2:

Address Line 3:

* City:

* Country:

Other Country:

* Province:

Other Province:

* Postal Code:

* Phone:

Fax:

* Email:

Alternate Phone:

Website:

Please send to my studio:

1. Conference Guides (please specify how many)
None 50 100 150 200 Other:

2. $5 Wholesale 3 Day Show Floor Admission Pass
None 10 20 25

Services and Styles offered at your Studio:

Please check one appropriate box.

Yoga Classes	Ashtanga	Yoga for golf
Pilates Classes	Integral	Meditation
Teacher Training	Anusara	Vinyasa
Classical Hatha	Sivananda	Phoenix Rising Yoga Therapy
Jivamukti	Bikram	Hatha Yoga (trained at Esther Myers Studio)
Moksha	Yin Yoga	Viniyoga
Yoga for kids	Kripalu	Yoga for Runners
Kundalini	Stress Reduction	Iyengar
Partner Yoga

Other:

Confidentiality

Yoga the Conference and Show agrees that any information you provide will not be disclosed to anyone without your consent or otherwise as required by law. The Confidentiality of the terms here agreed is to be strictly observed by all parties.