INDIVIDUAL MEMBER APPLICATION FORM

Individual Member Application Form - $150
Anyone interested in the study and practice of Pilates, who supports the objectives of the Alliance, and who is willing to contribute to the achievement of the organization's objectives is eligible to become an Individual Member of the PMA.

Please fill out this form to be listed in our Individual Member registry. Once you fill out and submit this form, you will receive confirmation of receipt and will be taken to an area where you can pay for your membership with PayPal.

Please note that the following WILL appear on our web site: Name, City, State/Province, Country, ZIP/Postal Code, Contact Phone, Email Address.

*Indicates REQUIRED information.

*Please tell us what kind of membership you are applying for: New Membership
Renewal
*Name
*Street Address 1
Street Address 2
*City
*State/Province
*Country
*ZIP/Postal Code
*Contact Number
Fax
Alternate Number
*Email Address
Please check here if you would NOT like your email listed on our site. DO NOT list my email on your site.
PMA Pilates Certification Number (This information will only appear if you are PMA Pilates Certified. If you are not PMA Pilates Certified NO information will appear regarding certification)

Pilates Method Alliance® registered members agree to adhere to the PMA Code of Ethics and Mission Statement. Failure to do so may result in disciplinary action by the organization including, but not limited to, revocation of membership and the use of our membership marks. Registry is good for one year, and renewal letter reminders will be sent annually. The Pilates Method Alliance® reserves the right to design and change the requirements of membership to evolve and advance the quality of our organization and its mission.

By clicking on the "Submit Form" button below, I certify that the above information is true and complete, and I agree to abide by the Pilates Method Alliance® membership code of ethics. I understand that falsification of any of the information or negligent violation of the PMA code of ethics may result in the revocation of listing and membership.,

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