REGISTRATION FORM

Send to:

Lighten Up Yoga and Healing Arts
60 Biltmore Ave.
Asheville, NC 28801

828-254-7756
Fax 828-254-3797
email: [email protected]

 
Name ___________________________________

Day Phone _______________________________

Evening Phone ____________________________

Address_________________________________

________________________________________

City_____________________________________

State ______ Zip____________

Please charge my ____ VISA ____ MC

acct. #_______________________________

amt.___________ exp. date_______________

signature of card holder:

_____________________________________.
Thank You!