De Luxe Membership & Certification Packet

only 60 Euro Included:

  • Lifetime Membership
     
  • Rank Certificate
     
  • Instructor Certificate
     
  • World Black Belt Council
    Membership Certificate

other Certifications

De Luxe Membership & Certification Packet Application:

your own Dojo/Training Group/Association/Club Name:........ ..................................................................

........................................................................................................................................................

Fullname:..........................................................................................................................................

Adress & Post Code:..........................................................................................................................

.........................................................................................................................................................

Country:......................................................................................................D.o.B.:.............................

Phone:.......................................................................Fax:.................................................................

Email:...............................................................................................................................................

Highest Grade:......................... Style:................................................................................................

Other Grades & Styles:. ......................................................................................................................

Number of Clubs:................., Number of members ( approx ):.........................

I enclose proof of my highest Rank Certificate and the Fee 60 Euro  + 10 Euro for S &H

Payment Details:

All admission fees must be paid before membership/ order is issued by either:

O Western Union ( + 20 Euro Western Union Fee )

O Pay Pal ( + 3,9% of Total = Pay Pal Fee )

O Creditcard via Pay Pal ( + 3,9% of Total = Pay Pal Fee )

O Cash (by insured or registred Mail )

O Cheque  ( + 20 Euro more Cheque Fee )

O Bank Transfer  ( + 15 Euro more Transpfer Fee )   Bank name: Volksbank Hameln-Stadthagen e.G.

BIC: GENODEF1HMP      IBAN DE15 2546 2160 0023 8350 00      Holder: MAA  .

With my signature I confirm the correctness of my data.


Date:.............................      Signature:...............................................................................................

Send to: MAA-I., Fasanenweg 3a, D-31655 Stadthagen, Germany, Fax: 05721/ 72866,  info@MAA-I.com

 

Copyright by MAA-I.