MEMBERSHIP 28/3/012 till 27/3/13

£30 Full Year For an extra £10 you can join the International Budo Federation

New Member Joining October £20 January £15

Please send via email using form below to Sombogb@blueyonder.co.uk payment by Paypal - Cheque to HQ

NAME

STREET

TOWN

COUNTY

POST CODE

COUNTRY

DOB

TEL

MOBILE

E.MAIL

Martial Art

Grade

Next of Kin

Club

Do you have any Injuries or disease which can affect your Training

All sections must be filled in BLACK ink and in BLOCK CAPITALS incorrect forms will be returned Membership

and Insurance cover will only commence when HQ has received money and correctly filled in forms.

I agree to abide by all regulations and standards laid down by the IBF/BCSA

Replacement IBF and BCSA License books £2. Please send SAE with application:

Signature of Guardian/Parent