Groupon | Schedule First Class Survey

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

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

No

I'm Not Sure?

*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. The 30-Day Groupon from February 2013 expires on May 14th, 2013. After that date we will no longer be accepting reservations for this Groupon.

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2. Your Contact Info

Your Contact Info Name (First, Last):
Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

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3. What is your birth date?

	MM		DD		YYYY
MM/DD/YYYY	What is your birth date? MM/DD/YYYY Month	/	Day	/	Year

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4. What is your Groupon Number (###-DO) - Feb 2013, 30 Day Groupon only.

The Sept 2012 Groupon expired on December 26th, 2012.
The May 2012 30-Day Groupon expired on August 8th, 2012.
The December 2010 60-Day Groupon expired on December 4, 2011.
The October 2011 30-Day Groupon expired on February 28th, 2012.
We regret there are no exceptions.

What is your Groupon Number (###-DO) - Feb 2013, 30 Day Groupon only. The Sept 2012 Groupon expired on December 26th, 2012. The May 2012 30-Day Groupon expired on August 8th, 2012. The December 2010 60-Day Groupon expired on December 4, 2011. The October 2011 30-Day Groupon expired on February 28th, 2012. We regret there are no exceptions.

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

Groupon Redemption Code (####-#### by barcode)

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

*Note: When redeeming your Groupon purchased in February 2013, you must schedule class before the expiration date of Wednesday, May 14th, 2013. No exceptions.

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

	MM		DD		YYYY	HH		MM	AM/PM
Top Choice	When do you want to take your first class? *Note: When redeeming your Groupon purchased in February 2013, you must schedule class before the expiration date of Wednesday, May 14th, 2013. No exceptions. Please enter your top 2 choices of class times you'd like to attend: Top Choice Month	/	Day	/	Year	Hour	:	Minute	AM or PM
Second Choice	Second Choice Month	/	Day	/	Year	Hour	:	Minute	AM or PM

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:

Notes:

Groupon | Schedule First Class
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1. Bikram Yoga Tempe Groupon Reservation Request Form

Groupon | Schedule First ClassExit this survey

1. Bikram Yoga Tempe Groupon Reservation Request Form

Groupon | Schedule First Class
Exit this survey