CHARTER APPLICATION PRINTABLE FORM

To receive your AFJ Charter Certificate, print this form page, fill it out and send it with your $50 Charter Registration fee to:

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

Name (School Operated By)_______________________________________________________________________________________

*School Name _____________________________________________________

*Style ___________________________________________________________________________________________________________

 

*(As you would like to appear on your certificate, be sure and double check these three lines for spelling and capitalizations, do not use all capital letters)

Mailing Address____________________________________________________

_________________________________________________________________

Email Address______________________________________________________

Web site address (optional)___________________________________________

Telephone (optional)________________________________________________

Date of Birth_______________________________________________________

Please attach a brief outline of your Schools Curriculum.