Incentive Program Form

Instructor's Name *Please provide your full name.
Studio Name *
Owner's Name *
Dance Style *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Website
How to get free shoes... Your student will get 10% discount since you send them (it is not valid with sales item).
You will receive 10% Credit towards any purchase of shoes for yourself each time one of your students purchases shoes from us. We will keep track of each purchase made by the students referred to us by you. When it is time for you to get your shoes, we will apply credit towards your future purchases. All you have to do is make sure your students or other customers you refer to us mention your name. By filling out this form we will have you in our computer system and your credit will begin adding up.
Students Please call us for your orders.
percentage will be calculated on purchases before tax. students must mention the studio name and/or instructors who referred them in order to validate this Benefit.