New Members & Renewals Dojo-cho / Group Leader Name(Required) First Last Email(Required) Shibu (Area)(Required)CanadaEuropeJapanUnited StatesPlease select the area your group/dojo is located.Dojo / Group Name(Required)Registration & Renewal InformationMember InformationNEW MEMBERS: Please list the Names and Date of Birth for new members on separate lines. Include both students and instructors. RENEWALS: Please note this by the name.# of Students Quantity Price: $50.00 Quantity Please list the number of students you are registering or renewing.# of Instructors Quantity Price: $100.00 Quantity Please list the number of instructors you are registering or renewing. Do not include Dojo-cho or Group Leader.# of Dojo-cho or Group Leaders Quantity Price: $125.00 Quantity Please list the number of Dojo-cho or Group Leaders.Total Payment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
