contact us / register

Please fill out the below form if you would like to participate in the Pink Pilates Programme, become a Friend of Pink Pilates or would like to sign up to receive our newsletter:
(required form fields are bold)
First Name:
Last Name:
Email address:
Phone number:
Address:
I would like to participate in the Pink Pilates Programme.
I would like to receive a Pink Pilates Welcome pack.
I would like to sign up for the Pink Pilates newsletter.
I would like to apply for financial assistance from the Pink Pilates Trust.
I would like to volunteer and become a Friend of Pink Pilates.
I would like to become a Pink Pilates sponsor.
How did you hear about us?
Friend Magazine
Medical professional Internet
Referral Other
Security Number:
Enter Security Number:
   
Contact Details:
Physical Address:
PINK PILATES HEAD OFFICE
@ The New Zealand Breast Cancer Foundation
11 - 13 Falcon St
Parnell
Postal Address:
THE PINK PILATES TRUST
PO BOX 37411
PARNELL 1151
Phone/email and web details:
DDI 09 304 0969
lou@pinkpilates.co.nz
www.pinkpilates.co.nz

"I was fortunate to be doing Pilates both before and after my mastectomy. As a result my healing and ability to get back into life with 3 small children was quite immediate. Pilates gives me both physical strength and a belief that I am in control of my disease, not the disease controlling me."
Anna Williams