ITA Gup New Membership and Promotion Payments Registration Form

	Shim Soo Do Examination Payments On-Line Payment Form Korean Martial Arts Federation P.O. Box 281 Grand Blanc, MI 48480 USA

Complete the form below and then click "Submit Application" at the bottom of this page.

Please allow 4 to 6 weeks for processing.
(Payments are to be in U.S. Currency)

Shim Soo Do Home Page DVD Videos Books

Your Name Name:
Your KMAF Reg. Number:

Credit Card Holder Information (All certificates will be sent to the following address)
Name (As it appears on Card):
Street Address:
City:
State:
Zip Code:
Country:
Phone: (Required
E-Mail Address (Required)

Credit Card Information

Card Number:

CVV:

Credit Card:

Exp. Date: Month

Year:

Examinations You Are Submitting For Next To "Gup Rank I Am Testing For", Type In What Rank You Are Testing For "9th Gup", +8th Gup", Which Ever Applies To You. You May Test For 2 Ranks At The Same Time. When Applying For 1st Degree Black Belt Test. Type In "1st DAN" Then Insert The Total Fees You Are Submitting.
Gup Rank I An Testing For:	$45.00 Within US ($55.00 Outside US)
Gup Rank I An Testing For:	$45.00 Within US ($55.00 Outside US)
I An Testing For 1st DAN:	$145.00 Within US ($160.00 Outside US)
Total Fees You Are Submitting:

Shim Soo Do Home Page