APPLICATION FORM
Mr. / Miss______________________________________________ would like to inscribe himself in the Autumn Course " Aki no Keiko" of kyokushin Karate, to be held in Caldetas (Barcelona-Spain) from 07th to 10th of December of 2000, so he is paying the amount of $15.000,-pts$.
The inscription must be confirmed and payed before the 15th of November. Please make the Bank Transference to the following account:
FIBANC 0186-1001- 93 0504869905
Once you Make the transference, please send the filled application form with a copy of the bank transference to our headquarters:
SPANISH KYOKUSHIN ORGANIZATION
Providencea, 160, 3° 2ª
08912 BADALONA (Barcelona)
SPAIN
Dojo:________________________________ Grade:___________________ Age:________
Signature:_________________________________________________
Date:__________________________________________________