|
Address: City: State: Zip Code: Country: * Home Phone #: * Work Phone #: * E-mail: Dojo: Sensei: Karate Rank: Kobudo Rank: Attending Days: Feb. 18 Feb. 19 Febr. 20 Member Fees: 3 Days $185.00 * 1~2 Days $145.00 Non-Member Fees: Additional $25.00 Late Fees: After Feb. 5, 2011 Additional $25.00 Saturday Night Dinner: Number of Persons: at $25 each: 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
|
| 11th
ANNUAL MKKU NATIONAL GASSHUKU February 18 ~ 20 , 2011 |
|||
| 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 |
|||