Exit this survey

1. Bikram Yoga Tempe Groupon Reservation Request Form

* 1. Have you ever taken a class at Bikram Yoga Tempe? *

*Note: Groupon is for students who haven't practiced at our studio within the last 12 months only. If you have attended our studio and it has been less than 1 year, you can gift your Groupon to someone who meets the eligibility criteria.

* 2. Your Contact Info

* 3. What is your birth date?

MM/DD/YYYY
/
/

* 4. What is your Groupon Number (###-DO) -
Current 30 Day Groupon only.
We regret there are no exceptions.

* 5. Groupon Redemption Code (####-#### by barcode)

* 6. When do you want to take your first class?

*Note: When redeeming your Groupon , you must schedule class before the expiration date. No exceptions.

Please enter your top 2 choices of class times you'd like to attend:

Top Choice
/
/
:
Second Choice
/
/
:
Welcome and thank you for your business!

Your reservations are manually processed and you will receive an email confirmation from bikramyogatempe@gmail.com with details regarding your first class as soon as we process your request.

We look forward to you joining our community!

7. Notes:

T