I.M.K.A. MEMBERSHIP REQUEST
To apply for membership, please fill in the following form. All information will be treated with the utmost confidentiality. You will be contacted as soon as possible.
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LAST NAME

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FIRST NAME

 *

AGE

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NATIONALITY

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E-MAIL

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KOBUDO RANK

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KOBUDO ORGANIZATION

*
KARATE RANK
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KARATE ORGANIZATION

*
Are you a Karate/Kobudo Teacher?
 *
Note:
 *
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