Unified Taekwon-Do Lifetime Black Belt Membership - Online Application

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

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

First Name

Last Name

Gender

Male

Female

Date of Birth
(yyyy-mm-dd)

Mailing Address

Contact Number

Club or Association

UITF Club No. (where applicable)

Your Instructor (where applicable)

Personal History

Electronic Banking Reference

This should be filled in where a direct deposit is made to the Unified ITF Australia account. By default this will be the applicant's last name however where multiple applicants are paid in one transfer, a unique reference should be used for accounting purposes.

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