18th ANNUAL MKKI NATIONAL GASSHUKU
February 22 ~ 25 , 2018


* Name:
* Last Name:

* Address:

* City: * State:

* Zip Code: * Country:

* Cell Phone #: Work Phone #:

* E-mail:

Dojo: Sensei:

Karate Rank: Kobudo Rank:

Attending Days: Feb. 22 Feb. 23 Feb. 24 Feb. 25

Member Fees: INSTRUCTORS $295.00

ADULTS $200.00
CHILDREN $95.00

Non-Member Fees: ADDITIONAL $50.00

Late Fees: AFTER FEB. 5, 2018 ADDITIONAL $25.00

Saturday Night Dinner: NUMBER OF PERSONS: AT $30 EACH:

T-Shirts: QUANTITY: SIZE: AT $18 EACH:

* Total Amount:

Illness/Injuries?

Emergency Contact:

Emergency Contact Phone:

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
 
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Bushikan Budo Kyokai

Matayoshi Kobudo Kodokan Intl.

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