GOSHINKAN - International Hombu Dojo

GOSHINKAN INTERNATIONAL

HOMBU DOJO

MEMBERSHIP

Goshinkan International Hombu Dojo Membership

Goshinkan International Hombu Dojo is pleased to offer martial artists from any Japanese/Okinawan discipline the oppoortunity to register their rank and become Lifetime Members of the Hombu.
In order to qualify for membership, you must fill out the below application and attach a current copy of your rank certification.
Benefits of membership include:

Listing on the Goshinkan Hombu Black Belt page
Opportunity for additional rank advancement
Discounted fees on Goshinkan sponsored events
Access to official Goshinkan Training Materials, Equipment and Supplies

Lifetime Membership and Rank Recognition is only $35.00

E-mail Address: *

Full Name: *

Age: *

Date of Birth: * / /

Address 1: *

Address 2:

City: *

State:

Zip/Postal Code: *

Country: *

Current Grade: *

Current Rank: *

Title:

Martial Arts ranking history: *

Rank to be registered/recognized:

Attach copy of current rank certification: *

Martial discipline to be registered/recognized: *

Title to be registered/recognized:

I understand that there is a one-time $35 membership and rank recognition fee: *

I understand that Goshinkan will add $5.95 for s/h: *

I agree to the terms of membership in the Goshinkan International Hombu Dojo: *

Signature: *

Verification Code: Visual Verification Image

Enter Verification Code: *

* Required

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