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PILATES TANGO TAMARA DI TELLA LICENSES FRANCHISES

If you can't send the form, please e-mail us to
tamara@tamaraditella.com

Name:
Last name:
E-mail:
Address:
City/Province:
State:
Country:
Phone:
Age:
Educational Level:		high school college university
Does the Institution where you study have an Intership Program?
Do you plan to rent your own location or do you already have one?
Why did you choose Tamara Di Tella Pilates?
You wish both Pilates and Tangolates, or only one or another?
What is your occupation?
Others comments: