Alpine Yoga Alpine Fitness Mgmt c/o Connie Oliwa
103-4338 Main St. Suite #1030
Whistler BC
VON 1B4
604-938-4418
Email: oliwa@telus.net
Registration Form:
Complete the registration form in full. Fax or mail completed form with payment.
Name: _________________________________ Email;__________________
Address: ______________________________ Suite/Apt #:____________
Day Phone: ____________________________ Eve. Phone: ____________
How did you hear about us? ______________________________________
Program registering for:
Level 1 Instructor Program 3 days Cost $426.93 (includes gst) Date of selected trainings ______________________
Payment method: Checks made payable to Alpine Fitness Mgmt
Visa card number __________________________________________
Cardholder Name ___________________________________________
Expiry date ___________________
I understand the above programs must be paid in full to confirm my registration. I understand the programs are non-refundable. I understand there are no refunds or credits for any reason including by own non attendance.
Date ____________________________________
Print Name ______________________________
Signature _______________________________
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