GASSHUKU 2012
Online Enrollment Form

Family Name:

Given Name/s:
Email Address:

Contact Number:
Street Address:
 Suburb:
City:
 Country:
Male: / Female: Aikido Organisation:
Dojo Name & Location:
 Instructors Name:

Payment Remittance

PLEASE MAKE ALL PAYMENTS DIRECTLY TO...
BANK: The National Bank of New Zealand
BRANCH: Auckland Corporate and Commercial Banking 209 Queen Street, Auckland
ACCOUNT NAME: Aikido Seminar ACCOUNT No: 06-0103 : 0106043-00

MY PAYMENT WAS MADE ON THE...

PAYMENT:

Please be sure to include your name on the remittance advice when making your payment.
*IMPORTANT* Email to info@aikidonewzealand.com as soon as you have sent made your remittance.

 
I will be attending the following days...
SAT 3rd SUN 4th
ALL DAY ALL DAY

 

 

Click on "SEND" to email your enrolement form, payment remittance and attendance for the National Annual Gasshuku 2012.

 

Thank you for submitting the Online Enrollment & Payment Remittance Form.

Kind Regards

NTSign
Nobuo Takase