PILATES TANGO TAMARA DI TELLA LICENSES FRANCHISES

Note: to take the course or to acquire the T-DITELLA® Apparatus you must first purchase the License.

If you can't send the Form, please, send your e-mail to:

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 own or rent your own location/facility? (please elaborate on this point)
Why did you choose Tamara Di Tella Tangolates?
I wish to purchase:		Only Pilates Only Tangolates Both
What is your occupation?
Others comments:

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