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Payment for The Australian Pilates Academy Course Registration
Welcome to the Online Registration Form

Please Fill out this On-Line-Registration to indicate your interest in a particular course

Name *

Email Address *

Address
Address Line 1 *

Address Line 2

City *

State *

Post Code *

Country *

Phone Number *

Mobile *

Please Select the Primary Course of Interest and its location and Relevant Start date
Preferred Interested Course:
Select Course *

Select Location *

Start Date *
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Please Select other Courses you wish to Register (Leave Blank if not Applicable)
Additional Interested Courses:
Select Course

Select Location

Start Date
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Additional Interested Courses
Select Course

Select Location

Start Date
calendar

Please Select additional Courses you wish to Register (Leave Blank if not Applicable)
Interested Workshops
Select Workshop

Select Location

Start Date
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Interested Workshops
Select Workshop

Select Location

Start Date
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Pilates, Dance, Fitness and Allied Health Qualifications
Qualifications *

Please list any Pilates Experience
Pilates Experience or Training

Current or Previous Injuries that may affect you on course
Current or Previous Injuries

METHOD OF PAYMENT
Full Amount for Courses
Discount Total
Balance Owing after this Payment
Payment method *
Are you paying the full amount or just the deposit today?



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Contact Details
  • Contact Us : 8 - 10 Ironbark Ave, South Camden,NSW 2570
  • Postal Address: PO Box 6162, The Oaks, NSW 2570
  • Phone Number: 0414 264 183
  • Fax: (02) 4657 2316
  • Bank Details:Commonwealth Bank

    BSB: 062 424

    Account No: 1021 8899

    Account Name: Body Fit Australia

  • E-mail address:peter@thepilatesacademy.com.au