Application Form

To join Shintaido of America, print out this form and mail it
with your payment to:

    Shintaido of America Membership
    426 Day Street
    San Francisco, CA 94131

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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