Email address:
First & Last name:
Phone Number :
Inquiry about:
Write down any optional message to be sent to the recipient along the gift card
How did you hear  about us:
Recipient's first & last name:
Gift card to be mailed to Addr:
This section for gift cards only
- Register / purchase a package or Gift card -

If  you  already have  a gift card  in hand,  you do not need to fill out this form. Simply bring the gift card to the next weekly class.

Customer service:
Tel: 416-473-0759
Toll free: 1-866-496-7864
info@alpharhythmroots.com
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Confirm Email address:
Recipient's email address:
Payment Method you will be using:
  This form is for:
- Individuals seeking group classes for themselves
- Individuals who want to purchase a gift card for someone.
(No need to fill out this form for a single drop-in class: Payment at the door)
Each group class is 1 hour 30 Min in Toronto on Thursday nights only (Bloor & Spadina). Packages purchased after Sept 1st 2015 do not expire. Gift cards do not expire, and will be printed /mailed via postal services. Included with each initial purchase of package or gift card is a free "one on one" introductory class. Start attending anytime, as we do not have any series starting and finishing at specific dates (Classes credit to be used at your convenience).
Town / City you are from :
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CLG6 - 6 group CLA - $90
CLG9 - 9 group CLA - $130
CLG12 - 12 group CLA - $170
CLG15 - 15 group CLA - $200
CLG18 - 18 group CLA - $235
GC-CLG1 - 1 group CLA - Gift card - $20
GC-CLG6 - 6 group CLA - Gift card - $90
GC-CLG9 - 9 group CLA - Gift card - $130
GC-CLG12 - 12 group CLA - Gift card - $170
GC-CLG15 - 15 group CLA - Gift card - $200
GC-CLG18 - 18 group CLA - Gift card - $235
T.T.C Add
Email
Internet Search engine
Social media
Friend / Referral
Repeating customer
E-transfer using the same email provided here
Credit card over the phone