To join Shintaido of America, print out this form and mail it
with your payment to:
Shintaido of America Membership
PO Box 1979
Novato, CA 94948-1979, USA
I would like to support Shintaido of America as a member:
_ Full-time Student $ 25
_ General Member $ 40
_ Advanced Student $ 40
_ Assistant $ 60
_ Graduate (Shodan) $ 60
_ Instructor (Nidan + above) $ 110
_ Instructor on Sabbatical $ 30
_ Contributing Member $ 50
_ Sustaining Member $ 100
_ Patron $ 500+
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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