|
Address: City: State: Zip Code: Country: * Home Phone #: * Work Phone #: * E-mail: Dojo: Sensei: Karate Rank: Kobudo Rank: MKKU Member Fees: $2,500.00 Non-Member Fees: Additional $200.00 T-Shirts: Quantity: Size: at $18 each: Total Amount: Method of Payment: Check by Mail: Credit Card : Illness/Injuries? Emergency Contact: Contact Phone: *
If you are paying by credit
card we will call you to obtain your
|
| 12th
ANNUAL MKKU INTERNATIONAL GASSHUKU August 8~17, 2009 |
|||
| e-mail:
fs@bushikan.com 1665 S. Rancho Santa Fe Rd. #A San Marcos, CA 92078 - USA Phone: (760) 744-5560 |
|||
| Copyright ©
2003~2010 Bushikan Budo Kyokai Please Do Not Copy any material or photos without our permission |
|||