ITA Gup New Students and Promotions
On-Line Payment Form

International TaeKwon-Do Association
P.O. Box 281
Grand Blanc,   MI   48480   USA

Complete the form below and then click "Submit Application" at the bottom of this page.

Please allow 4 to 6 weeks for processing.
(Payments are to be in U.S. Currency)

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Credit Card Holder Information
(All certificates will be sent to the following address)

Name (As it appears on Card):
Street Address:
Zip Code:
Phone: (Required
E-Mail Address (Required)

Credit Card Information

Card Number:
    Credit Card:     Exp. Date: Month       Year:

Total Fees For All Students

Number of New Gup Members:   x $20.00   =  
Number of Gup Promotions:   x $15.00   =  
Total Fees For All Students:

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