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USJA Family Membership
 
Quantity in Basket: none
Code: family
Price: $0.00

Shipping Weight: 0.00 pounds
 
# of Family Members:
3 - $115.00
4 - $144.00
5 - $166.00
6 - $187.00
7 - $202.00
 
Non USA address add $10
 
1 Yr. Subscription to Black Belt Magazine ($15)
Name:
Street:
City:
State / Province:
Zip:
Country:
Date of Birth mm/dd/yyyy:
Age:
Sex:
Male
Female
Home Phone:
Work Phone:
E-Mail:
Age Category:
JR(Younger than 17)
Sr(17 and older)
Primary Art:
Date of Rank mm/dd/yyyy:
Rank in Primary Art:
Additional Arts,ranks,ect:
Are you also a USJI Member:
USJI YES
USJI NO
Club Name:
Club Coach:
Club Address:
Club City:
Club State:
Club Zip:
Club Country:
Club Email:
Mail Card to::
Individual
Coach
Membership:
New
Renewal
USJA Mem # (for renewal):
Member 2 Name:
Member 2 Age:
Member 2 Birth DT:
Member 2 Sex (M or F):
Member 2 Membership:
Member 2 New Member
Member 2 Renewal
Member 2 Member # (if renew):
Member 2 Art:
Member 2 Rank:
Member 2 Rank Date:
Member 3 Name:
Member 3 Age:
Member 3 Birth:
Member 3 Sex (M or F):
Member 3 Membership:
Member 3 New Member
Member 3 Renewal
Member 3 Member # (if renew):
Member 3 Art:
Member 3 Rank:
Member 3 Rank Date:
Member 4 Name:
Member 4 Age:
Member 4 Birth DT:
Member 4 Sex (M or F):
Member 4 Membership:
Member 4 New Member
Member 4 Renewal
Member 4 Member # (if renewal):
Member 4 Art:
Member 4 Rank:
Member 4 Rank Date:
Member 5 Name:
Member 5 Age:
Member 5 Birth DT:
Member 5 Sex (Mor F):
Member 5 Membership:
Member 5 New Member
Member 5 Renewal
Member 5 Member #:
Member 5 Art:
Member 5 Rnk:
Member 5 Rank DT:
Member 6 Name:
Member 6 Age:
Member 6 Birth DT:
Member 6 Sex (Mor F):
Member 6 Membership:
Member 6 New Member
Member 6 Renewal
Member 6 Member #:
Member 6 Art:
Member 6 Rank:
Member 6 Rank DT:
Member7 Name:
Member 7 Age:
Member 7 Birth DT:
Member 7 Sex (M or F):
Member 7 New Member:
Member 7 New Member
Member 7 Reneral
Member 7 Member # (if nenewal):
Member 7 Art:
Member 7 Rank:
Member 7 Rank Date:
 
Quantity:
 
USJA Family Membership 3-7 family members $115.00 - $202.00

No refunds will be given on membership or donations. Thank you

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