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!