Schedule Appointment with Yoga Loka LLC

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
New Monthly Unlimited Auto Debit	x $120.00	$175.00 $55.00 initial setup plus $120.00 per month
Total: $175.00	Coupon:

The scheduling of any appointment, or purchase of any package for use online or in studio at Yoga Loka LLC, serves as my full acknowledgment of and agreement to all terms and conditions set forth by and for Yoga Loka LLC. I agree to all contents of the waiver of Liability, holding harmless Nicole Collier, Daniel Collier, and Yoga Loka LLC. I accept full responsibility for myself, and further assert that I am at least 18 years old, and am agreeing to this and continuing with registration of my own free will.