AFJ PRODUCT PRINTABLE FORM

Please print this form and send the completed copy along with fees to the address below:

American Federation of Jujitsu
1225 Felmey Road
Winfield, PA 17889 USA

Name____________________________________________________________

Mailing Address____________________________________________________

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Email Address______________________________________________________

PLEASE CHOOSE FROM THE FOLLOWING:

Place the write the number items on the lines.

 

______________DVD package "Beginner to 1st Degree Black Belt" $65

______________AFJ uniform patch $7

______________Yoshin Ryu Jujitsu Uniform Patch $9

______________AFJ ID card $5

 

TOTAL ENCLOSED

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