2012 Membership/ Renewal Form

MEMBERSHIP INCLUDES LISTING ON PHA WEBSITE.

Please complete form, print and send with check for $50.00 annual membership fee good through May 2013 to: 

Pilates Houston Association

P.O.Box 66372

Houston, Texas 77266-6372

Name _____________________________________________________________

Address ___________________________________________________________

City ________________________ State _______ Zipcode___________________

Email  ____________________________________________________________

Do you wish email address to be listed on the web site? ____________________

Best phone # to reach you ___________________________________________

Studio(s) where you teach: ___________________________________________

Are you the owner? _____________

Part of town where you teach: _________________________________________

Studio email/web address: ___________________________________________

Years teaching Pilates: _________________

Certification(s): ____________________________________________________

Other trainings, modalities, relevant experience: __________________________

__________________________________________________________________

Areas in which you would like to be involved: i.e. teacher training workshops, community outreach, social jams, web site development, professional development: ______________________________________________________

__________________________________________________________________

$50.00 application/renewal fee.

Make checks out to Pilates Houston Association.