Unified ITF Club Registration - Online Application

Complete the following form for submission, please provide as much information as possible to ensure a correct registration, costs apply for reprinted Certificates.

Please Note that Bank Account Details and other Payment Methods will be emailed to you after registration.

Club Name

Head Instructor

Mailing Address 1

Mailing Address 2

Contact Number

Website Address

Primary Contact (where different)

Number of Dan Members

Number of Students

Membership Commitment

Two Year (AUD$250)

Lifetime (AUD$350)

Electronic Banking Reference

This should be filled in where a direct deposit is made to the Unified ITF Australia account. By default this should be the club name however any unique reference can be used (for example, the Head Instructor's last name) for accounting purposes.

I have read and agree with the Memorandum of Understanding

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