You now have three ordering options:

1. You can print our form and send it in by fax or mail.
2. Call us Monday - Friday toll free 1-877-348-6692
3. Click here to order immediately "SECURE" online, 24 hours a day.

Spencer Pilates Order From
Please read the Policies & Procedures prior to ordering
No personal checks are accepted. We will accept company checks, money orders and bank checks.
If you are ordering a share program, you can use two money orders or split the charge on two credit cards.
Note: If you have already ordered "secure online", this form is not needed.
Follow the instructions on the form and mail or fax to the address listed below.
Please print clearly or type:

First Applicant: First Name:                                                                            MI:       
Last Name:                                                                                                                  
Company/Organization:                                                                                                 

Name as you would like it to appear on your certificate(s), if you are ordering
a certification program: _____________________________________________________
Mailing Address:                                                                                                       

City:______________________________________ State/Province:                        
Zip/postal code:__________________________Country:                                               
Daytime telephone: (____)______-_________ Fax number, if available: (____)______-_____

Credit card, Debit Card, Bank Check, Money Order, U.S. funds only

Account Number:__________________________________ Expiration Date:______/______ CVC Code*:______

Name on Card: ________________________________ Signature: ____________________________

*Visa and Mastercard
In the signature box on the back of your Visa you should see a 16-digit credit card number followed by a special 3 digit code.
This 3 digit code is your CVC.

American Express
On the front of your card next to your main credit card number look for a 4 digit code.
This 4 digit number is the Card Security Code.

Second Applicant: First Name:                                                                         MI:       
Last Name:                                                                                                                  
Company/Organization:                                                                                                 

Name as you would like it to appear on your certificate(s), if you are ordering
a certification program: _____________________________________________________
Mailing Address:                                                                                                       

City:______________________________________ State/Province:                        
Zip/postal code:__________________________Country:                                                  
Daytime telephone: (____)______-_________ Fax number, if available: (____)______-_____

Credit card, Debit Card, Bank Check, Money Order, U.S. funds only
(use this section only if you are splitting the payment on two credit cards)

Account Number:__________________________________ Expiration Date:______/______CVC Code*:______
Name on Card: _______________________________________________________________
Signature: ________________________________________________Date: ____/____/____
Additional Comments:                                                                                                                           

Make a selection

Shipping Rates

Shipping costs include the shipment of the certificate upon successfully completing and passing the program.