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)   DVDs Featuring Requirements for this program.
                                    (2)   KMAF (Korean Martial Arts Federation) Membership Card.
                                    (3)   1st Degree Weapons Program Guide.

Advancing In Rank

In order to be admitted into the program you must hold the rank of 1st Degree Black Belt or higher in a martial art. Once admitted to the program you are to submit video(s) in DVD format, or create a YouTube Channel from which the review board my see you performing the requirements, for each Level you are testing for. There are different Levels in each Program, so you shall be testing for each Level to complete the Program you are enrolled in. All Examination Fees must be in the form of a Money Order. Include the $45.00 Examination Fee (Foreign Countries $60.00 USD) each time you test.
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:
City:
State:
Zip Code:
Country:
Phone: (Required
E-Mail Address (Required)



Credit Card Information

Card Number:      CVV:
    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:
City:
State:
Zip Code:
Country:
E-mail Address: (Required)
Phone: (Required)
    Date of Birth (Month):
    Date of Birth (Day):
Date of Birth (Year):
Black Belt Certificate .jpg File:(Required):
Attach I.D. Photo .jpg File:(Required):
 
    

Secure form by FormNut.com

Korean Weapons Program Home Page