Dojo Membership Renewal ($35)

Complete your Dojo Membership renewal by January 31 each year.

Please complete the form below. Then complete your payment through PayPal.

Dojo Membership Renewal is $35 per year due by the end of each January.

Each Member Dojo is required to have all new and existing students and instructors in their dojo complete a one-time Student Membership with NASA. Individual Membership can be done online here. New students of a Member Dojo must join NASA in the month that they join your dojo.

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Title:*

First Name:*

Middle Initial:

Last Name:*

Email:*

Date of Birth:*

Dojo Name:*

Dojo Address:*

Dojo City:*

Dojo State/Prov:*

Dojo Zip/Postal Code:*

Dojo Phone:*

Dojo Website:

Your Phone:*

Your Rank:*

Date of current rank:*

Mailing Address:*

City:*

State/Prov:*

Zip/Postal Code:*

Country:*

Number of people in your dojo (including instructors)*

Note: You don’t need a PayPal account to pay with a credit card via PayPal.