Conference Sponsorship Agreement Form

Fields marked with * are required.

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

Business name as you'd it to appear in the Annual Meeting materials: *
Contact Person: *
Contact Number: *
Email: *
Web Address: *
Address: *
City: *
State
Province:
Zip/Postal Code:
Country *
Sponsorship Name: *
Sponsorship Dollar Amount: *

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, sponsorship must be paid in full by October 1, 2018. First payment will be drafted on date application is processed.
(Maximum characters: 500)
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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 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 click here to upload your completed credit card authorization form.
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. I further agree that the PMA has the right of pre-approval over the style and color of all sponsored merchandise and the manner of co-branding, including the use of the PMA logo.” *
Signature: *



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