Corporate Sponsorship Application

Fields marked with * are required.

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Application Type: *
Business Name: *
Contact Name: *
Address: *
City: *
Zip/Postal Code:
State
Country
Province:
Contact Number: *
Fax Number:
Email: *
Website:

Please upload your business logo. High resolution file preferred (eps, png, or tiff- 300 dpi). Current Corporate Sponsors may omit this step or update their logo if necessary.

Payment Information:


Choose method of payment: *
Choose one of the Payment Options: *

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Payment by Credit Card:
You can submit your credit card information one of the three following ways:
1. Download the credit card authorization form provided below, complete and re-upload prior to submitting the application.
2. Fax to 305-573-4461, attention Maly De Jesus
3. Email directly to Maly De Jesus at maly@pilatesmethodalliance.org

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

Payment by Check:
Only checks drawn on US banks are accepted and must be made out to: Pilates Method Alliance.
Please send check to PMA, 1666 Kennedy Causeway, Suite 402, North Bay Village, FL 33141.

PLEASE CLICK HERE TO DOWNLOAD CREDIT CARD AUTHORIZATION FORM
 

Please upload your completed credit card authorization form here.
Would you like to authorize auto renewal of your sponsorship? *

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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. *

Clear Selection
Signature: *



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