Centre Pilates®

Mail Order Form (Please print)
Please contact us to order 3 or more items or for Wholesale Discount.
Phone:   215-579-0007

Your Billing Information:

Name:_______________________

Address:_____________________ (no PO Box)

City, ZIP:____________________

Phone: ______________________

E-mail: ______________________

Shipping Information if Different from Billing:

Name:_______________________

Address:_____________________(no PO Box)

City, ZIP:____________________

Phone: ______________________

E-mail: ______________________

Shipping and Handling is Included:

Order Article Price
  DVDs  
1 DVD The Authentic Pilates Mat Series — Basic Mat 25.93  
2 DVDs The Authentic Pilates Mat Series — Basic Mat 47.93  
1 DVD The Complete Authentic Arm Series Basic/Intermediate/Advanced 25.93  
2 DVDs The Complete Authentic Arm Series Basic/Intermediate/Advanced 47.93  
1 Mat Pilates Mat- $91.96
Please circle your color choice: Light Green, Light Blue, Red 		 
Subtotal  
add 6% tax for PA residents  
Total Amount Due  

Make your checks payable to:
Centre Pilates
20 Newtown/Richboro Rd
Suite D
Newtown, PA 18940