Franchise Contact Information Reply
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PERSONAL CONTACT INFO
Name: *
Address:*
City:*
State:*
zip / postal code:*
Country:
Phone:*
e-mail:*
Are you a Bikram Yoga Certified Teacher?* Yes   No
Date of Bikram Teacher Training Graduation  
(mth. / yr.):
Date of Bikram Teacher Re-Certification  
(if applicable) (mth. / yr.):
Location requested for your  
new Franchise School:*
EXISTING AFFILIATED BIKRAM SCHOOL
Name of school:
School address:
City:
zip / postal code:
Country:
School phone:
School e-mail:
School website:
Date of original opening: (mm/dd/yy)
Opening date at current location: (mm/dd/yy)
Expiration date of current Bikram Yoga  
College of India Affiliation Agreement:		 (mm/dd/yy)
Date lease of current location expires: (mm/dd/yy)
Does current lease have options to extend?
If so, what would be ultimateend date of  
lease if options to extend were exercised?		 (mm/dd/yy)