Name: | Registration is Essential |
Address: | Money is not refundable however classes are transferable to other classes within the term. Compulsory Pre-exercise Questionaire available online or from our centre
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| Payment required to book placement Full term payment is required. Catch-up classes can be done during the Term including Sat. mornings.
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Phone: | o Cash payment $ ……….. |
Email: | o Please charge $……….. to my credit card |
Health Fund: | o Bankcard o Mastercard o Visa |
Class Type: | Expiry date ……../………. |
Day: Time:
| _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |
Term 3 Classes 10 weeks $130
Except for “Just4you” $250 10 weeks |
Name on card ……………………………………… |
o Tick this box if this will be your 1st Pilates class |
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o I have my own correct sized certified anti-burst ball |
Signed ……………………………………………
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o Please contact me
re. ball purchase | Please post, phone/email details or deliver in person to: Wellness Centre, Phone: 02 4267 4448 Fax 02 4267 1706
31 Moore St Austinmer 2515 |
