I agree to the terms and conditions and of the Pilates Institute of Australasia Training courses and Code of Ethics and refund policies.

Name: .............................................................Signature........................................

Address: ......................................................................................

State: ............... Postcode: ...............Country: ......................................

Telephone (W): ................................(H)...................................

Fax: ...............................Mobile:..........................................

Email: ..............................................................................

Attach copies of: First Aid, Cert IV Other -

Practitioner (State physio/osteo/chiro)...........................................

Please calculate course prices from webpage with course dates.All prices include GST.
1 If booking Floor 1 and Ball 1 at the same time REDUCE TOTAL COST BY $100.00 (Off FULL price of Ball course)
2 EARLYBIRD SPECIAL: IF BOOKING and paying for FLOOR 1 EIGHT WEEKS PRIOR TO START OF COURSE, REDUCE TOTAL BY A FURTHER $100.00.
3 To book any other course 8 weeks in advance, deduct $25.00.
4 All courses include a DVD of that course, unless unavailable.
Workbooks will be sent out by email to download, print and bring to the course.

ONLY CREDIT CARDS CAN BE ACCEPTED FOR OVERSEAS COURSES Cheque Money Order Visa Master/Eurocard

Credit Card __ __ __ __. __ __ __ __. __ __ __ __. __ __ __ __

Exp date __ __ /__ __ CVC __ __ __(last 3 digits on back of card)

Name on Card : ................................................

Signature on Card : ...........................................

You can also credit the funds directly into our bank account:
Account name: Pilates Institute of Australasia
Bank: St George Bank
BSB: 112879
Account Number: 044081261
SWIFT CODE: SGBLAU2S (for overseas transfers)
Please state your name and "City" (where " City" is the city where you are doing the course) in the reference section when transferring the funds.

Prices and dates of courses subject to change without notice. Minimum 10 attendees required to conduct courses. $50 LATE PAYMENT FEE APPLIES to courses booked within 14 days of the course to cover Express Mail delivery of course materials.
Please ensure you have travel insurance in case the course is postponed/cancelled by the PIA. If the PIA cancels the course due to lack of numbers, we will provide a full refund, minus course materials already sent.
Floor 1 Course prerequisite: study of "the Complete Theory Guide to Menezes Method" and 20 sessions from the Floor 1 DVD.
REFUNDS: prior to 8 weeks: $100.00 Admin fee charged; 4-8 weeks 50% refunded; less than 4 weeks - no refund.

Print/scan this page & fax/email it and supporting documents to
the PIA (+61) 2 8920 2633 or education@pilates.net

or send the application and supporting documents to:
EDUCATION DEPARTMENT
Pilates Institute of Australasia
PO Box 1099, CHATSWOOD, NSW 2057, AUSTRALIA