| 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.
Disclaimer
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