CCKSF Membership Application

Name (Chinese): _________________________ (English) ________________________

Sex: ___ Age: ___ Occupation: ____________________________________________

Experience in Martial Arts: _________________________________________________

______________________________________________________________________

Address: ______________________________________________________________

City: ___________________ Province:_____________ Postal Code : _____________

Phone #(Home): _____________ Phone #(Work): ___________ Fax #: ____________

Email: _________________________________ Membership Fee: $_______________

Recent Photograph included for application (Yes/No): _______________

Remark: General Membership C$20.00 / Year, Club Membership C$100.00 / Year

1. Please make a cheque payable to CCKSF for the appropriate amount (General Member or Club Member )
2. Put the application together with the cheque in an envelope
3. Please insert your recent photo into the envelope
4. Mail to Canadian Chinese Kuo Shu (Martial Arts) Federation
    20 Lunsfield Crescent, Scarborough, Ontario, Canada M1S 3S1.

Thank you for your application!



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