Grandmaster Kwok Seminar Registration Form July 25th & 26th, 2009
Name:____________________________________________________ Age:______________
Address:______________________ Apt.#______ City_______________ State_____ Zip______
Phone: Home _______________ Work_________________ Cell _______________________
Email: ______________________________________ Amount Enclosed ________________
Days Attending: Please Circle One. Sat / Sun / Both Balance Due __________________
I waive all rights of possible injury to Institute of Defensive Methods/CMAA and its Associates.
_____________________________   _____________________________
Signature   Date
No Personal Checks
Make Checks or Money Order Payable to: C.M.A.A.
You may also register on-line at: www.idmnj.com
At least a 50% deposit required. Balance payable at the door.
No Refunds Available
Absolutely to No Video, Pictures, or Audio Recording permitted
Please send payments and completed forms to:
Institute of Defensive Methods 451 – 1st Street, Hoboken, NJ 07030
Institute of Defensive Methods - Hoboken, NJ