Schedule Appointment with Willow Tree Pilates

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
5 Rossiter Sessions		$450.00
Total: $450.00	Coupon:

Pilates sessions and packages are non-refundable except in the case of changes in medical condition resulting in physical limitations (physician letter required). I understand the terms of this form. I agree to be financially responsible to pay for charges incurred from cancellations made less than 24 hours or no shows. I authorize Willow Tree Pilates to charge my account in the event of a late cancellation or no show.