NAME_______________________________________________________________
ADDRESS:___________________________________________________________CITY_____________________STATE_______
RANK____________________________________AGE____________________________YEARS IN MARTIAL ARTS__________
EMAIL____________________________________PHONE (OPTIONAL)_______________________________________________
STUDIO OR LAST STUDIO YOU WERE A MEMBER______________________________________________________________
INSTRUCTORS NAME AND RANK_____________________________________________________________________________
DO YOU COMPETE IN TOURNAMENTS?___________________ARE YOU CURRENTLY A MEMBER OF ANY NATIONAL MARTIAL ARTS ORGANIZATION?_________________IF SO, WHICH ONE?__________________________________________
WHAT IS YOUR FAVORITE PART OF THE MARTIAL ARTS? ______________________________________________________________
REMARKS IF NECESSARY________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
REGULAR SINGLE MEMBERSHIP:
MEMBERSHIP FEE: (ENCLOSED) $75.00................ from White Belt to Black Belt: $150.00 from 1st degree Black Belt to 2nd. the same amount from 2nd on up. (PAYMENTS CAN BE MADE ON LINE THROUGH PAY PAL) pal pal address to send (rddragn1@aol.com)
Send
Check or money order to: 2801 north towne ave, Pomona, Ca. 91767
make checks payable to Barbara Clark, CFO. AKKF
STUDIO OWNERS CONTACT AKKF@AOL.COM FOR CHARTER MEMBERSHIP INFORMATION.
THANK YOU