COMMUNITY
SOA MEMBERSHIP: APPLICATION FORM
 
   
To join Shintaido of America, print out this form and mail it
with your payment to:

    Shintaido of America Membership
    18 Washington St, #115
    Canton, MA 02021

I would like to support Shintaido of America as a member: 

   _ General Member $ 60 

Please make checks to: Shintaido of America

   _ I'm a NEW MEMBER - please send my FREE copy of Origins

   _ I'm joining, but please do not list me in the 
     Membership Directory.

   _ Please keep me on the mailing list for events
     and workshops


Name ___________________________________________________ 

Address ________________________________________________

City ______________________ State _____ Zip ____________ 

Phone/fax ______________________________________________

Country ___________________ Email ______________________

How did you learn about Shintaido?

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__ Please remove my name from your mailing list




 
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