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AOKA Dojo / School Membership
 Use this area to register or renew your school / dojo membership with the AOKA.

Name *
E-mail Address *
Dojo / School Name *
Dojo Mailing Address *
Dojo City *
Dojo State / Province *
Dojo Zip Code *
Dojo Telephone (999) 999-9999 *
Dojo Website Address
  Check here if you would like your dojo listed on the AOKA website?
Head Instructor's Name *
Head Instructor's Rank *
Type of membership *
Method of Payment *
Name on Credit Card (exactly)
Credit Card Number (no spaces or dashes)
Exp. Date (mm/yy)
CCV

* Fields marked with an asterisk are required fields

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