ONE DAY COURSE & GRADING
WITH
HANSHI ASANO 9th Dan
Chief Instructor Shotokan Karate International
European Federation (S.K.I.E.F.)
SUNDAY 2nd MARCH 2008
TRAINING
TIMES
12.00 p.m. to 1.30 p.m. &
2.30 p.m. to 4.00 p.m.
GRADING
4.00 p.m. to 5.30 p.m. (for S.K.I. members
only)
PRICE
Full Course Training Only: £40.00
Training Plus Grading: £60.00.
(Konjaku Shin Members Total: £48.00)
Note: Places Must Be Booked in
Advance. No Applications On The Day.
Absolutely NO CHEQUES will be accepted within one week of the course
APPLICATION
FORM
Name ...............................................................................................................................................................................
Address ..........................................................................................................................................................................
........................................................................ Post code ...............................................................................................
Grade ............................... Dojo ............................................ Association ..................................................................
Please tick: Training Grading Grade Attempt ________ kyu
Total fee enclosed: £ ......................
S.K.I. Licence Enclosed
(required if
grading)
PAYMENT METHOD
Cheque
Postal Order
Cheques crossed please and made payable to Mr D. Kershaw
CREDIT/DEBIT CARD
All major Cards including: VISA, MASTERCARD, JCB, DELTA,
SWITCH, SOLO,
Card Type (eg: Visa/Mastercard) .............................................
Card Number ...../...../...../...../...../...../...../...../...../...../...../...../...../...../...../...../
Valid from .... /.... /.... /.... / Expiry Date ..... /.... /.... / .... / Security Number .... /.... /.... /..../
Switch Issue Number .... /.... /
Mail to:
KONJAKU SHIN NATIONAL SCHOOL OF KARATE
LOWER SPRING STREET, GRIMSBY, N.E. LINCOLNSHIRE. ENGLAND, DN31 3JS
or
FAX FORM TO: +44 (0)1472 267807
CREDIT CARD BOOKINGS CAN ALSO BE MADE BY TELEPHONE ON +44 (0) 1472 267807
