Corporate Sponsorship Application

Application Type: *

Business Name: * Contact Name: *

City: *

CountryUnited States

Province:

Fax Number:

Website:

Payment Information:

Choose one of the Payment Options: *

Full payment of $1,500.

2 payments of $750.00. A deposit of $750 will be processed upon receipt of your signed application. The remaining balance of $750.00 will be billed to your credit card on the 15th, six months later

12 payments of $135. A deposit of $135 will be processed upon receipt of your signed application. A handling fee of $120 will be included in the cost of the Corporate Sponsorship. The balance of the fees will be automatically billed to your credit card on the 15th of each month at the rate of $135 per month ($135 x 12 months = $1620). If the date falls on a weekend or holiday, the debit will be processed the following business day. Total debit will be $1620

Zip/Postal Code:

Address: *

Contact Number: *

Email: *

Fields marked with * are required.

Would you like to authorize auto renewal of your sponsorship? *

Yes

No

I authorize the Pilates Method Alliance to process my payment (check or credit card) as stipulated in the chosen payment plan described above. I understand this constitutes a legally binding agreement. I further certify that the application information above is true and complete, and that I am authorized to sign on behalf of the above listed company. I understand that falsification of any of the information may result in the revocation of listing. *

Yes

Signature: *

Card number:

Name on card:

Expiration date:

CVV:

Billing address:

Please note applications submitted without payment information will not be processed.

If you prefer to submit your payment information via phone please contact Maly De Jesus at 305-573-4946 ext. 209

Please email a copy of your business logo to maly@pilatesmethodalliance.org. High resolution file preferred (eps, png, or tiff- 300 dpi). Current Corporate Sponsors may omit this step if your logo has not changed.

Logo Submission:

Payment Details: