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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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* Required
LAST NAME
*
Your answer
FIRST NAME
*
Your answer
AGE
*
Your answer
NATIONALITY
*
Your answer
E-MAIL
*
Your answer
KOBUDO RANK
*
Your answer
KOBUDO ORGANIZATION
*
Your answer
KARATE RANK
*
Your answer
KARATE ORGANIZATION
*
Your answer
Are you a Karate/Kobudo Teacher?
*
Yes
No
Note:
*
Your answer
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