Form

PASS CARD OPTIONS for Triangle Yoga, Chapel Hill NC
Buyers Full Name *

First Name Last Name
Pass Card Members Full Name *

First Name Last Name
Birthday of Pass Card Member

- Month - Day Year
Family Card Member's Full Name

First Name Last Name
Family Card 2nd Member's Full Name

First Name Last Name
Your E-mail *
Your Phone Number *

- Area Code Phone Number
Emergency Contact *

First Name Last Name
Emergency Contact Phone Number *

- Area Code Phone Number

Your Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Passcards for multiple classes can be purchased through this form.

Please make your choice and then hit the SUBMIT button at the bottom to move onto the payment processing page.

Family members can share the 5, 10 and 20 class Pass Cards. Please specify!

A 4% charge will be added to cover all credit card fees. Sales are not refundable.
Pass Card Options

5 Class Pass INFINITY CARD - $15 per class (no expiration) $ 78.00

10 Class Pass INFINITY CARD - $14 per class (no expiration) $ 146.00

20 Class Pass INFINITY CARD - $13 per class (no expiration) $ 270.00

5 Class Pass FAMILY INFINITY CARD (no expiration) $ 78.00

10 Class Pass FAMILY INFINITY CARD (no expiration) $ 146.00

20 Class Pass FAMILY INFINITY CARD (no expiration) $ 270.00

1 MONTH UNLIMITED Class Pass (1 month expiration) $ 146.00

1 YEAR UNLIMITED Class Pass (1 year expiration) $ 1,607.00
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