INDIVIDUAL MEMBERSHIP 2016/17

International Budo Federation UK

118 East Street

Sittingbourne

Kent

ME10 4RX

ibfbcsa@gmail.com

078 46 193 712

 

 

MEMBERSHIP 28/3/16 till 27/3/17

32 Standard Membership
40 Standard plus Combat Sambo Membership

 

 

You can pay over the internet via Internet Banking or Paypal
sombogb@blueyonder.co.uk if using paypal please insure you pay
their admin fee or add 5% or Cheque sent to HQ or contact HQ for
internet Banking Details

 

 

 

Name

Address

Address

Town

Postcode

D.O.B

Tel No

Mobile No

Email

 

 

 


Signature accepting all rules and regulations of the the Association


 

  Signature (If U16 Parent or Guardian)