Membership Application

 

Name:__________________________________________

Address:________________________________________

City:___________________________________________

Date of Birth:____________________________________

Email:__________________________________________

Website if any:___________________________________

Phone:_________________________________________

Rank:__________________________________________

System or Style (s):_______________________________

Instructor (s):___________________________________

Other Training:__________________________________

Brief Personal Bio and Other Comments:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How did you hear about WMAF?:______________________________________________________________

References with Phone number:

_______________________________,

_______________________________,

_______________________________,

_______________________________.

President Comments:___________________________________________________________________________________

 

Approved_____________________________                                              Declined:___________________________________________

WMAF MEMBERSHIP $50.00 per first YEAR January-January

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WMAF Renewal Membership $35.00 (Remember you CAN NOT advance in rank if your yearly dues are not current)