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Welcome new UFAF KM School / Instructor Charter Applicant!

UFAF KM School / Instructor Charter: $200/month
(includes your individual membership and access to the UFAF Business Management and Marketing Systems - Powered by MAIA)

PLEASE NOTE: This form is for NEW MEMBERS ONLY. If you already have a UFAF membership through UFAF CNS, UFAF BJJ, or as a UFAF Affiliate, please Log In and add the UFAF KM School / Instructor Charter Membership from the "Manage Your Membership" link.


CREATE A MEMBER ACCOUNT

Fields in  GOLD  are required.

Contact Info

 First Name
 Middle Name
 Last Name
 Suffix (Jr.,III, MD)

 Address
 Address 2

 City
 State (Ex: TX or Mexico)
 ZIP / Postal Code
 Country

 Home Phone (Ex: 555-123-1234)
 Work Phone (Ex: 555-123-1234)
 Mobile (Ex: 555-123-1234)

Internet Info

 Email Address		  
 Re-Enter Email Address
WILL BE ASSIGNED
Username (Member ID)		  
 Password		 http://
Personal Web Site Address (Facebook, etc)

Personal Info
 
Month		  
Day		  
Year
  Date of Birth
         
Feet		  

Inches
  Height

Sex
 		 lbs
Weight

Program Info

School

 Instructor First Name
 Instructor Last Name
 Region (same as school above)

     


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