ONE DAY COURSE & GRADING
WITH
HANSHI ASANO 9th Dan
Chief Instructor Shotokan Karate International
European Federation (S.K.I.E.F.)
SUNDAY 21st FEBRUARY 2010
TRAINING
12.00 p.m. to 1.30 p.m.
GRADING
1.45 p.m. to 3.00 p.m. (for S.K.I. members
only)
PRICE
Training Only: £25.00 non-members /
£20.00 Konjaku Shin members
Training Plus Grading: £49.00. non-members / £39.00 Konjaku Shin members
Non-Konjaku Shin members
wishing to train/Grade must produce
proof of
Individual Members Public Liability Cover
such as a Pink FEKO Slip.
Training will not be allowed without insurance
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
