NKKF Membership Application!!
Please, fill in all blanks!
First Name
Male Female AGE Your Martial Arts type: Karate Kempo Tae Kwon Do Kung Fu Kobudo Akido Jiu Jitsu American Electic Other
Last Name
City
Program : Charter Member Associate Member Individual Member Other Country : Austraila Canada Denmark England U.K. Germany Holland Israel Japan Sweden USA Greece Italy Other
Web Browser or Viewer InternetWorks for Windows Lynx MacWeb for the Macintosh Mosaic for Macintosh Mosaic for Windows Netscape for Macintosh Netscape for Windows 1.0 - 2.0 Netscape for Windows 2.0 - 3.0 Netscape for Windows 3.0 or higher WebExplorer Unix Other
My Title is Grand Master Master Studio Owner Instructor Student Novice Other
Belt or Sash Color Black Brown Blue Gold Green Orange Purple Red Yellow White Other Please enter if OTHER
HIGHEST LEVEL ACHIEVED: 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th
What is the name of the style of Martial Arts you are presently Instructing or Studying?
MARTIAL ARTS STYLE NONE Goju Ryu Shito Ryu Shorin Ryu Shotokan Shorei Ryu Wado Ryu Uechi Ryu Kyokunshinkai Ryu Kyu Kempo American Kenpo Tae Kwon Do Kung Fu Kobudo,list stlye below Other explain below
YOUR MARTIAL ARTS HISTORY, CERTIFICATION DATES, ASSOCIATION/S INSTRUCTORS:
How many students are you teaching on a regular basis? 1-10 11-50 51-75 76-100 101-150 151+ n/a
How many days do you teach? Six or more days a week (5) Five days a week (4) Four days a week (3) Three days a week (2) Twice a week (1) Once a week 3 or 4 times a month 1 or 2 times a month Just a few times a year
How many classes each day? 1 2 3 4 5 6 7 More than 7
The NKKF has 3 Membership Plans to chose from:
All Memberships are renewable yearly.
*Instructors receive: Discount and FREE MEMBERSHIP when enrolling 10 or more Students.
Which Membership Program are you interested in? Charter Membership - $150/yr Assoc.Membership - $50/yr Indiv.Membership - $40/yr
Which NKKF Patch type do you prefer? Round National Karate Kobudo Federation NKKF Rectangle Kanji
Did you check out all "CLICK HERE" on the NKKF Index page? Yes No
Do you have a web page on the internet? Yes No If yes, what is your internet web site URL (Address)?
Do you wish for your School to be listed on the NKKF Website? Yes No Don't Know
If you are undecided on membership, would you like us to send you E-mail with more information on the services we will provide to you? Yes No If so, how soon would you like us to contact you? Immediately Within the week Take your time
If you want the monthly Traditional Karate E-zine, how would you like it? I will download it myself Attached to E-Mail monthly Sent in Text format inside E-Mail No E-zine
If you want the monthly E-zine attached, in what format would you like it?
Attached as a HTML file Attached as a TEXT file
ADDITIONAL INFORMATION OR COMMENTS:
PLEASE, SEND MEMBERSHIP FEE, COPY OF CURRENT CERTIFICATE OF RANK, ANDPASSPORT SIZE PHOTO TO:
*NKKF*1723 SE. 160th St.Summerfield, Florida34491
**If pop-up Email box appears your Browser will not support, just Email or Snailmail your Application information!**
EXCELLENCE IN MARTIAL ARTS!!
OSU!!
Thank You For Your NKKF Application.
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