ON-LINE BOOKING FORM
BOOK A PULSE8 CLASS - COPRPORATE, WOMEN'S GROUPS, SCHOOLS OR HOSPITALS

Your registration details
 


PERSONALIZED GROUP FITNESS CLASSES
Your Name
 
Your Address
  
Country
 
Contact Telephone
 
Email address
  
       
 
Please Tick the Program and Group for the class


Body Temple (yoga/belly)
Club Bellydance (modern belly)
Power Latin (latin dance)
Combination of all 3 programs
Glow (seniors/pregnancy)
Zesty (choldren's prigram)
   |I would like to arrange classes for:

Corporate/Work or Office Program
Private Home Classes Women only
Hospital, Seniors or Natal classes
School primary or secondary syllabus
 
Please Tick Class and Venue Details

Aproximate no of people per class Venue Home Office Gym

Most suitable day/time Beginning which date

Fees for 45 min PULSE8 CLASS = $80 aud Aus/NZ/Asia or $80 USD USA/UK/Europe

I understand the fees include up to 30 minutes of travel only by the instructor each way
Extra travel charge for longer distances. Payment up front and class at instructor's discretion.
 
Areas of Availabilty and Comments

Areas: Australia - Perth, Bunbury, Sydney, Melbourne, Hobart >> more cities coming
USA, PA Harrisburg, Coming soon NY, LA, WA, TX and >> more states coming
Australasia: New Zealand, Malaysia, Singapore

Comment or specific questions about the class:


   
Payment - can be completed after enquiry sent
   
Total Payment Amount

Currency
 USD Aud
Credit Card Type

Credit Card Number

Expiry

     
   


Allow 48 hours for confirmation. Questions? Email keti@iinet.net.au