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Leopard Friends

Prancing Leopard Organics believes in you. Believes in your power to change the world, believes in empowering your lifestyle, love and light in any form it takes for you.

If you live your life with passion, if you care about the environment and sustainability, care about yourself and others, we want to be your special friend.

Leopard friends are always the first to know about local events or parties, new products, new partners or new causes, eligible to receive our newsletter, etc.

We want to develop a dialogue with you as Leopard Friends. We have no expectations on you that you promote our products, but of course we hope you will like them!

If you so desire, we can keep you informed about events, special promotions and other activities in your area.

In filling out this form, I certify that I am at least 18 years of age. I also understand that Leopard Friend status can be terminated at any time.

Due to a technical problem, the form below is temporarily not working properly. You may copy the form and insert it with your answers into our automatic e-mail system using Contact Us. Our apologies for this temporary technical problem!

Personal Details
Title:
Surname: *
First Names: *
Name of Business (if applicable):
Street Address: *
Town/City: *
State/County: *
Zip/Postal Code: *
Country:
Main Telephone: *
Other Telephone: (mobile etc.): *
Other Telephone Number (work etc.): *
Your email address: *
Contact email address: *
Website Address
twitter/facebook/
myspace/flickr/linkedin:
What types of fitness do you practice orteach?:
Please be specific (for example teach Pilates ; practice vinyasa yoga; teach modern dance; practice feldenkreis)
how many times per week? :
What specific courses, certifications or instructor certifications have you completed?:
What do you do or would like to do to help save ecology and the environment?
How would you describe your personal lifestyle and taste?:
How would you describe your background and interest in clothing and/or fashion?:
How would you describe your interest in Prancing Leopard Organics?:
Where did you hear about us?:
Would you like to receive the Prancing Leopard Newsletter?:
 
Please read the following informatiom:
 

In filling out this form, I certify that I am at least 18 years of age. I also undersrand that this Prancing Leopard Friend status can be terminated at any time.

Prancing Leopard Organics respects your personal privacy. Any personal information, e-mail addresses, etc. collected on this site will be used only for the stated purpose. No personal information will be sold to or shared with other parties for marketing or any other purposes.

If you choose to register for our newsletter, please be aware that you will receive newsletter e-mails.

If you wish to be removed from our newsletter list or friend list, pleace contact us.