Pilates Accessory Order Form BBMovement*

Pilates Accessory Order Form
BBMovement*
Session (circle) : Fall 1, Fall 2, Winter 1, Winter 2, Spring, Summer
Prénom: _________________________
Nom de famille: ____________________________
Téléphone: ______________________
Courriel: __________________________________
Accessoire*
Magic Roller
Elastic (6 feet)
Pinky Ball
Franklin Balls (2)
Small Ball (26 cm)
Exercise Ball (55cm)
Exercise Ball (65cm)
Pilates Mat
Prix par unité
(taxes incluses)
52.00$
6.50$
4.00$
24.00$
12.00$
36.50$
44.00$
46.00$
Quantité
Total
Total
*colours and styles may vary depending on availability
Deposit (50% of the total order): ____________________
Payment by cash or cheque :
___ Cash
___ Cheque
 I agree to pay the balance of my order within two weeks of being notified that my order has
arrived at the studio (you will receive an email confirmation that the items have been delivered to
the studio)
Signature: __________________________________
Date: ____________________
Credit card payment
___ VISA
___ MC
Credit card number: ___________________________________________
Expiration date: ___________________________________
Name on the card: ____________________________________
 I authorize Beautiful Balanced Movement to charge my credit card for the amouth above and
the remain balance for my order upon the studio’s receipt of my items.
Signature: __________________________________
Date: ____________________
*BBMovement must attain a minimum amount (all orders combined) in order to place the order. .
We cannot guarantee that our minimum will be met. If the studio does not reach its minimum
amount, you can either decide to wait until the next order is submitted or we will refund your
order in full. You will receive a receipt by email