Individual Membership Application Form

If you have email setup with your internet browser, click here to send us your information and send the membership fee to P.O. Box 590172 Houston, Tx 77259-0172

Processing your membership will take 4-6 weeks.

Or if you prefer to send us the actual application form, click here to print out the application form in PDF format.

Or you can fill out the online membership form below and send the membership fee to P.O. Box 590172 Houston, Tx 77259-0172

Name:       

Date of Birth:   Gender:

Telephone:   Fax:

Email:        

Address1:  

Address2:  

City:           

State & Zip Code :

Membership Type :
         New Application
         Renewal Application - Member ID #:

I accept and agree to abide by the IMAF Code of Conduct :
         Yes
         No

Current Rank: None Level 1 - Antas Isa - White Level 2 - Antas Dalawa - Yellow Level 3 - Antas Tatlo - Low Blue Level 4 - Antas Apat - High Blue Level 5 - Antas Lima - Low Green Level 6 - Antas Anim - High Green Level 7 - Likah - Brown Level 8 - Likah Isa - 1st Degree Brown Level 9 - Likah Dalawa - 2nd Degree Brown Level 10 - Likah Tatlo - 3rd Degree Brown Level 11 - Lakan/Dayang - Probationary Black Level 12 - Lakan/Dayang Isa - 1st Degree Black Level 13 - Lakan/Dayang Dalawa - 2nd Degree Black Level 14 - Lakan/Dayang Tatlo- 3rd Degree Black Level 15 - Lakan/Dayang Apat - 4th Degree Black Level 16 - Lakan/Dayang Lima - 5th Degree Black

Instructor:       

School Name:

Telephone:         Fax:

Address1:      

Address2:      

City:              

State and Zip Code:

Other Martial Arts Experience (For New Member Only):
Please tell us the Style(s), Rank(s), Instructor(s) and Location(City/State)