Class Registration

If you would like to register for a session, please print this page and mail to:

The Prana Studio, P.O. Box 111, Durham, NH 03824

Name ______________________________________________________________

E-mail ______________________________________________________________

Address ____________________________________________________________

Day Phone ____________________________ Eve Phone ______________________

Class Selection - Date/Time __________________________

Workshop Selection - Date/Time ______________________

Tuition Fee ________________ Amount Enclosed _________ Check#________________

___ I am interested in the CIGNA Reimbursement Plan

___ I am interested in the NH Health-Trust Reimbursement Plan

___ I am interested in the Harvard-Pilgrim Reimbursement Plan

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© Copyright Moebius Yoga, Mobius Yoga, The Prana Studio, Durham NH 2004