Application for Membership 
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Please print, complete and send to:

Women in Martial Arts Association (Victoria) Inc.
P.O. Box 374
Canterbury 3126
Australia

.

I, (name)______________________________________________

of (address)____________________________________________
_________________________________Post Code____________

apply for annual membership of the Women in Martial Arts Association (Victoria) Incorporated.

Signature of Applicant:____________________________________
Date______/______/______

Membership Renewal: Yes__    No__

Annual Membership Fee: AUD$15.00 *
Enclose cheque or money order payable to: Women in Martial Arts Assoc. Victoria
* Fee in Australian dollars; distribution of information and newsletters in Australia only.

Phone:__________________(AH)    ___________________(BH)
Occupation:___________________________________________ 

Martial Arts Involvement:
Martial Arts and/or Women's Self Defence
1.___________________________________________________
2.___________________________________________________
3.___________________________________________________

Grade & Experience (Yrs) for the above:
1.___________________________________________________
2.___________________________________________________
3.___________________________________________________

Training Locations & Times:________________________________ 
_____________________________________________________
_____________________________________________________
 
 


Last updated: December 1998
Designed by: mirjam@mail.com
Copyright © 1998 Women in Martial Arts Association Victoria Inc.
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