Membership Application

MEMBERSHIP APPLICATION

APPLICATION

Name: _______________________________________________________

Mailing Address: ______________________________________________

__________________________________________Zip Code____________

Rank: _________________________________Status: Active Inactive

Instructor: ___________________________________________________

E-mail Address________________________________________________

1. Select a Vadha Federation membership category.

 1 year membership $25  3year membership $60

Your membership will include a subscription to The Vadha Federation News letter.

2. Method of payment: Total amount enclosed $____________

CHECK (MADE PAYABLE TO VINCENT MCCRAVE.)

MONEY ORDER

CASHIERS CHECK Do not send CASH in the mail.

Signature: _______________________________Date: ________________

Please return this application with your payment to:

JACK McCRAVE

PO Box 3101

Kennesaw, GA 30156

Please note that for a limited time, all students of VADHA FEDERATION sanctioned instructors can enjoy a FREE FEDERATION membership (valid through the end of 2007). Just fill out the application above, and write FREE MEMBERSHIP in the Method of Payment space. Be sure to include your instructor's name.