ISKFBC Headquarters
2922 St. Johns St.
Port Moody, B.C.
V3B 2C3

                                                   Annual Dojo renewal form 2009

Club name:    

Mailing address: 



ISKF reg. no. 

Total number of members: 

Adult Males:                              Adult Females:  

Phone no:                               Fax no. 

E-mail address: 

Web site url: 

Instructor Name: 

Instructor phone: 

Instructor E-mail: 

Registration for year:  

Instructor Signature_________________________________

Payment enclosed $      see ISKFBC payment schedule for amount