Membership Form

 

Name:_____________________________    Birth Date:_______________    Sex:    M     F

Street Address:___________________________________________________________

City:________________________     State:________________    Zip Code:___________

Telephone: (       ) ______-_______    E-Mail:____________________________________

Rank (Kyu or Gup/Color) ___________/_____________    Style:____________________

 

New Membership $25.00    ____            Renewal Membership $20.00   ____

 

School/Dojo:_____________________________________________________________

Street: ____________________________________ City :__________________________

State:___________   Zip:________________ Instructor:____________________________

 

Please allow 3-4 weeks for processing. New Members will receive a membership card, certificate, and AMAA patch.
Want to join the AMAA ... simply fill out the form below, print the form & mail it with your certified check or money order payable to American Martial Arts Alliance.
mail to:AMAA Headquarters...982 Main Street...Fishkill, NY 12524