Kate's Pilates Videos - Booking Form

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Kate's Pilates Videos - Booking Form - JUNE/JULY 2023

Please use this form to book access to Kate's Pilates VIDEOS for 9 weeks starting 5 June to 16th July 2023.

Includes free unlimited access to Kate's Pilates 'Tutorials' for the duration of the 9 weeks

To confirm your booking, please pay online as soon as you have completed and submitted this form

Your first name *

Your surname *

Your email *

Your mobile phone number *

What level video would you like to receive each week? *

Payment is per household. The fee is £36 (£6/wk x 6 weeks)

Level 1

Level 2

Level 3

More than one level (please go to next question)

If you want to receive two, different level, videos please choose from the following options:

Payment is per household. The fee is £54 (£9/wk x 6 weeks)

Level 1 & 2

Level 2 & 3

Level 1 & 3

Clear selection

Please tick to show you understand and agree with the following: *

1. I understand that the fee is per term and is non-refundable

2. I understand that the fee is per household which means anyone in my household can share access to the videos

3. I understand that I need access to the internet to view the online live classes and access the video recordings

4. I take full responsibility for my own actions and safety while following the Pilates videos

Required

Confirm your choice (& fee) *

You will have access to the videos till the end of this 6 week term, but please be aware that the fee is for the term and is non-refundable.

I agree to pay £36 (£6/wk x 6 weeks), to receive ONE new video every week (either level 1, 2 or 3)

I agree to pay £54 (£9/wk x 6 weeks), to receive TWO new videos every week (of two different levels)

Please tick if you want to purchase any equipment:

Please pay online and collect in person from Crickhowell or Abergavenny (or arrange with Kate/pay for postage if you prefer). Please make a separate transaction for the total equipment fee.

Resistance band (medium) blue - £4.50

Pilates 7" Ball - £7.00

Pilates mat (15mm thick) - £40

Pilates mat (10mm thick) - £36

Pilates head (or sitting) block (320mm x 250mm x 60mm) - £14

Tom's Pilates non-slip socks Medium (Size 4-7) - £10 for 2 pairs

Tom's Pilates non-slip socks Large (Size 8-12) - £10 for 2 pairs

Please pay via online banking to Kate's business account: *

Kate Falkner Pilates Ltd / Santander Bank / Sort Code: 09 01 29 / Acc No: 49516944

Please reference your bank payment with your name and class time e.g. JoeBloggsUnlimited

Please make a separate transaction for any equipment and reference with your name/equip e.g. JoeBloggsEquip

Required

Any Questions...?

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