Exhibitor Application and Agreement

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

Business Name: *
Exhibit Contact Person: *
Contact Number: *
Contact Email: *
How many booths would you like to reserve? *
Preferred booth(s) option 1: *
Preferred booth(s) option 2: *
Preferred booth(s) option 3: *

Payment Information:

Choose method of payment: *
How would you like to pay? *
If paying monthly, please indicate what day of the month you'd prefer we draft your payment. Please keep in mind, booth must be paid in full by October 1, 2018. First payment will be drafted on date application is processed.
(Maximum characters: 500)
You have characters left.

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 until payment info is received.

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.

Exhibitor Listing in Workbook:
The information provided below will be published and used for the Exhibitor's signage, Annual Meeting Workbook & Mobile App listings, so accuracy and completeness are important.

Business name as it should appear on signage/ conference workbook/ mobile app content: *
Contact Person: *
Contact Title: *
Email *
Address: *
City: *
State
Province:
Zip/ Postal Code *
Country *
Phone Number *
Web Address: *
Brief Description: *

Clear Selection
Company Description (describe your products or services being presented)
(Maximum characters: 1500)
You have characters left.
Please upload your business logo. High resolution file preferred (png, eps or tiff- 300 dpi).
I authorize the Pilates Method Alliance to process my payment (check or credit card). 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 booth space. By signing, Exhibitor assumes financial responsibility for payment in full of the Exhibit booth fee. The person signing below warrants and represents that s/he is the Exhibitor or is authorized to sign this agreement on the Exhibitor's behalf. *

Clear Selection
Agree to Terms & Conditions: *
Signature: *



Your form submission WILL be encrypted using SSL to ensure your privacy.

        
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