MKKI KOBUDO SPECIAL SEMINAR
March 23, 2024

 
ONE REGISTRATION PER FAMILY
* Names :
 
     
* Last Name :
 
     
* Address :
 
     
* City :
 
     
* State :
 
     
* Zip Code :
 
     
* Country :
 
     
* Cell Phone # :
 
     
Work Phone # :
 
     
* E-mail :
 
     
Emergency Contact :
 
     
Emergency Phone #:
 
     
Illness/Injuries? :
 
     
MARTIAL ARTS INFORMATION
     
Karate Rank :
 
     
Kobudo Rank :
 
     
Dojo Name :
 
     
Dojo Instructor :
 
             
SEMINAR FEES
             
1st Member :
  $95.00    
             
2nd Member :
  $80.00    
             
3rd Member :
  $65.00    
             
Non-Member :
  $115.00    
             
T-Shirt Qty :
  $18.00 Size :
             
Seminar Amount :
         
             
PLEASE DONATE TO BUDO CENTRE
             
How is my donation going to be used? Please click here
             
Donation :
         
             
Total Amount :
         
             
             

CLICK ON SEND TO MAKE A SECURE PAYMENT

 

 

   
   
   
   
   
   
   
   
   
     
e-mail: fs@bushikan.com
1945 S. Rancho Santa Fe Rd. #D
San Marcos, CA 92078 - USA
Phone:
(760) 744-5560
 
  Copyright © 2003~2024
Bushikan Budo Kyokai

Matayoshi Kobudo Kodokan Intl.

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