305-254-1677

Studio Owners Only

ALL FIELDS MARKED WITH A MUST BE FILLED IN FOR ACCESS TO OUR STUDIO OWNER PRICE LIST

NAME: (FIRST & LAST)

SCHOOOL NAME:

WEBSITE:

EMAIL:

FEDERAL ID #

RESALE TX #

NAME OF PERSON(S) AUTHORIZED TO PLACE ORDERS:

NAME OF PERSON(S) AUTHORIZED TO PLACE ORDERS:

STUDIO ADDRESS: EXAMPLE: 751 SEASIDE LANE #1

P.O. BOX #

APT. OR STE. #

CITY:

STATE:
ZIP CODE: EXAMPLE 33143-6415

AREA CODE:

TELEPHONE #:

AREA CODE:

CELL PHONE:

HOW YOU FOUND OUR WEBSITE?

ENROLLMENT FORM
All information will be kept
CONFIDENTIAL

LEOTARDI, INC.
12120 S.W. 131 AVENUE
MIAMI, FLORIDA 33186

EMAIL: info@leotardi.com

STORE PHONE: (305) 254-1677

TOLL FREE # 1 877 254-5678
Available during
normal store hours

NORMAL STORE HOURS
Mon-Thursday 10-7 PM EST
Friday 10-6 PM EST
Saturday 10-3 PM EST

VERIFICATION OF YOUR
INFORMATION

It is very important that we verify
all of your information.
Once this is completed, you will
receive a
SPECIAL CODE NUMBER
which will identify your eligibility to
SPECIAL DISCOUNTS