Association/Affiliate Application Form

Print out this form and mail it with your association/affiliate fee to.

Alan Scott - Shihan
The Budokwai Martial Arts Association
30 Oaktree Drive, Ecclefechan,
Lockerbie, Dumfriesshire, DG11 3EH
Scotland, UK

(Please note this form is for associations, companies and martial arts organisations only, individuals or clubs should use the individual or club membership forms)
Name of Association/Organisation
__________________________
Contact Name __________________________
Address
__________________________
__________________________
Postcode
__________________________
Telephone No.
__________________________
Email address ____________________ Website url http://www.___________________
Please list senior instructors and grades (if applicable)
__________________________
__________________________
__________________________
__________________________
__________________________
We wish to affiliate our association/organisation with the Budokwai Martial Arts Association.
We enclose the sum of £__________ (check here for current affiliation fees)
(Please make cheques payable to the Budokwai Martial Arts Association)

We agree to abide by the constitution and rules of the Budokwai Martial Arts Association

Signature on behalf of the above Organisation
________________________________________
Date _______________________