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Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Te Aro Astanga Yoga
First Name
Last Name
Date of Birth
Gender
Male
Female
Non-Binary
Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
Postal Code
Country
New Zealand
How did you hear about us?
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Internet Search
Previous Experience of Yoga
Walking past
Word of Mouth
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Medical Information
Behavioural Information
Start Date
First Payment Date
promo_impact_start_date
Membership
10 Class Pass
Description
For direct debits via internet banking:
Te Aro Astanga Yoga Account; 12-3141-0176812-00
Please use your name as reference.
Price
$150.00 Full Cost
Promotion
$0.00 until
Account Credit
applied after signup
Membership Start Date
Membership Length
3 months
Prorated Upfront Fee
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