CONTROLOGY PILATES METHOD
MEMBERSHIP APPLICATION FORM
NAME:
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COMPANY NAME (if applicable):
...
ADDRESS:
.
...
Home Telephone No.
Business Telephone No.
...
Mobile Telephone No.
..
Email Address:
Website:
..
DETAILS OF CONTROLOGY PILATES METHOD COURSES PASSED:
Course Title:
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Date:
Certification Date:
Level:
.
___________________
Course Title:
.
Date:
Certification Date:
Level:
.
If you are not currently listed on our Website or you would like to change or update your details, please write the copy you wish to appear in the CPM Teachers Directory below or attach a separate sheet. We only add new copy on, or as close as possible, to the three joining dates each year, so please ensure we have your details in good time. You may include:
Your Name:
Company Name:
Your Qualifications:
..
.
A short profile:
..
.
.
Where you teach:
..
CONTACT DETAILS:
Telephone:
Mobile:
Email:
... Website:
Address: (if wanted)
..
.
PLEASE ENCLOSE YOUR CHEQUE FOR £65 WITH YOUR APPLICATION OR TELEPHONE THE STUDIO ON 01923 275024 TO MAKE A DEBIT/CREDIT CARD PAYMENT OVER THE PHONE. Please note that there is a surcharge for payment by CREDIT cards. No additional charge for DEBIT cards
THANK YOU!
