Korean Weapons 1st Degree Black Belt Program
On-Line Registration Form

I.T.A. Institute
P.O. Box 281
Grand Blanc,   MI   48480   USA

This On-Line Registration Form
is for those who wish to pay by CREDIT CARD.

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

When your Tuition fee has been paid in full and you have been admitted to the Program, you will receive the following:

      (1) 5 Korean Weapons DVDs (white belt to black belt techniques).
      (2) KMAF (Korean Martial Arts Federation) Certificate of Rank.
      (3) KMAF (Korean Martial Arts Federation) Rank and Rank and Identification Card.
      (4) Program Guide outlining the requirements to reach the 1st Degree Black Belt level in Korean Weapons.

Advancing In Rank

Once admitted to the program you may submit video(s) in DVD format, of yourself performing the requirements for each rank when you are ready to test. All Examination Fees must be in the form of a Money Order. Include the $45.00 Examination Fee (Foreign Countries $55.00 USD) each time you test for a Gup level, and the $145.00 Examination Fee (Foreign Countries $160.00 USD) when testing for 1st Degree Black Belt. All fees are non-refundale and subject to change.
Fees must be in U.S. Funds made payable to ITA Institute.

Mail all examination materials to:

ITA Institute
Attn: Director of Admissions and Records
Post Office Box 281
Grand Blanc, Michigan 48480, U.S.A.

Acknowledgement of Terms and Conditions of Payment

I hereby apply for admission to the Korean Weapons 1st Degree Black Belt Program.
I fully understand that there are no refunds for any admission or tuition fees.
I certify that all information contained in this application and materials
submitted are true and accurate to the best of my knowledge
and by the submission of this application
I do hereby acknowledge and agree to the terms and conditions of payment.
I further certify that I am at least 18 years of age.

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

Korean Swordsmanship Program   ITA Headquarters    KMAF    DVD Videos    Books

Credit Card Holder Information

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:

Select Your Payment Amount

Korean Weapons
(1st Degree Black Belt Program)
Application for Admission

First Name:
Middle Initial:
Last Name:
Street Address:
Zip Code:
Phone: (Required)
    Date of Birth (Month):
    Date of Birth (Day):
Date of Birth (Year):
What Style Martial Art Do You Study?:
What Is Your Rank?:

Secure form by FormNut.com

Korean Weapons Program Home Page