10th World Masters Judo Championships 2008 - Belgium Entry Application

Enter early - limited spaces
Limit of 30 pairs for each kata
10th World Masters Judo Championships
Centre Sportif, KINETIX
Brussels, Belgium
June 24 - June 29, 2008

VISA APPLICATION FORM CLICK HERE

PO Box 185
Richmond Hill, Ontario, Canada
L4B 4R5
Tel: (001) 905-473-9714 Fax: (001) 905-473-9715
The payment process used on this form is secure.
If you wish you can fax or mail in this form.


*Required Fields
*First Name:
*Family Name:
*Street Address:
*City:
*Province/State:
*Zip/Postal Code:
Country:
World MasterAthlete Judo
Assoc. Membership #:
National Fed Judo Licence #:
Expiry Date:
Sex:
Age (as of June 24th 2008):
Birthdate-Day/Month/Year:
Judo Grade:
Division/Weight Division:
[e.g.: F3, -57kg]
*Home Phone:
Work Phone:
Fax Number:
*E-Mail:
 
EVENT CAPACITY IS 1500!!! ENTRIES ARE ONLY VALID IF THEY ARE
COMPLETE AND RECEIVED BY WMAJA HEADQUARTERS ON OR BEFORE 3rd June 2007
WITH THE FULL PAYMENT DUE. ALL ENTRY FEES ARE NON-REFUNDABLE.
KataFull name of ToriFull name of Uke
Nage-no-kata
Ju-no-kata
Katame-no-kata
Koshiki-no-kata
Kime-no-kata
Goshin-jitsu
Itsutsu-no-kata

All entry and membership fees are in US dollars must be made payable to 'WMAJA'
PLEASE REMEMBER - INFORMATION about the event TIMETABLE and ENTRIES will be published on the Internet on the official WMAJA website www.worldmastersjudo.com
FINALLY - it is advisable that players have a recent medical checkup prior to competing in the tournament.

Payable in U.S. Dollars
Tournament Fee:
$100.00
Kata Fee:
$100.00
WMAJA Annual membership:
$30.00
Total: 

Please make cheques or money orders payable to: World MasterAthlete Judo Association.
 
Visa:     MC:    
   
 Credit Card #
Expiry Date
Name on Credit Card
 

 

WORLD MASTERS JUDO ASSOCIATION
BANKING INFORMATION

Bank of America, New York, New York
For Credit to: TD Canada Trust Toronto
(TORONTO MUST BE SPECIFIED)
Account Number 6550826336

BENEFICIARY

TD CANADA TRUST
500 Highway #7 East
Richmond Hill, Ontario, Canada
TRANSIT 10852-004

PAYEE

World Masters Judo Association
1085-7315066

 

***Important***
An entry is only valid - no exceptions.

1.Official entry form must be completed and accompanied with entry fee paid in full.
2. A copy of passport.
3. A copy of current membership of a National Judo Federation that is affiliated to the International Judo Association.
4. IMPORTANT: Participants who require a letter of invitation so that they may obtain VISA travelling documents, must apply to head office by May 15th, 2008. We cannot guarantee that letters of invitation to be sent after this date.

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