Black Belt & Red Tip Testing Application


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Location:   

First Member’s Testing Information:

First Name: Last Name: DOB:  
Gender: Group: Next Rank & Fee: 

Second Member’s Testing Information – If Applicable:

First Name: Last Name:  DOB:  
Gender: Group: Next Rank & Fee: 

Third Member’s Testing Information – If Applicable:

First Name: Last Name: DOB:  
Gender: Group: Next Rank & Fee:

 

Terms:

  • Testing is ONLY for current members of Dragon Yong-in Martial Arts.
  • There are no refunds for any testing fees.
By signing below, I agree to the above stated terms and agree pay the amount selected above and waive my right to a refund.

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Dragon Yong-in Martial Arts https://dragonyong-in.com
Signature Certificate
Document name: Black Belt & Red Tip Testing Application
Unique Document ID: 1a2af549ac2d1b6d647c594daf7400de7b89f0e1
Timestamp Audit
2016-07-06 19:27:54 ESTBlack Belt & Red Tip Testing Application Uploaded by DYMA Sales - sales.dyma@gmail.com IP 71.207.145.17