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RPDTIA

RPDTA Application

RPDTIA

Ronin Police Defensive Tactics Association
Membership Application Form
(Please fill out form completely)

Name
Mailing Address
City
State
Zip
DOB
Law Enforcement Agency/Organization
Current Law Enforcement Rank
Years in Law Enforcement
Rank of Martial Art Certificate
Signature on Certificate
Date on Certificate
Current Rank
1st Year Black Belt
2nd Year
Email
This form submits your application electronically, but payment must be mailed per directions below.

Memberships fee of $60 for the first year and $40 for renewals.

1st Year Memberships include, RP Logo T-shirt, Membership Certificate in English and Japanese and Photo I.D. Card. Annual renewals are due the 1st of January of each New Year.

Please make all payments in US currency and by International Money Order payable to:

Hanshi Carlos Montalvo
Ronin Brotherhood L.L.C.®
P.O. Box 6043
Brandon, Florida
U.S.A.
33508-6001

 

 

Ronin Goju Ryu Kai World Karate Organization
P.O. Box 6043, Brandon, Florida, U.S.A 33508-6001
RGRKWO Online Application

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