New Member – 1st Time Membership Application – Membership Application & Renewal

Preferred Language*

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Who is submitting this signup?*

NEW STUDENT OR RENEWING STUDENT INFORMATION

Number of New Students Being Signed Up Today*

Please indicate the number of student memberships you want activated today. Your input here will reveal the corresponding number of student entry fields on this form.

STUDENT 1 INFORMATION

Student 1 Name*

First Last

Please provide student name as you want it to appear on membership cards and rank certificates.

Student 1 Gender*

Male
Female

Student 1 Birthdate*

Please indicate student's date of birth in format MM/DD/YYYY

Student 1 Date Started Training*

Please indicate the date in format MM/DD/YYYY that the student first began training in Soo Bahk Do Moo Duk Kwan at this Certified Studio

STUDENT 2 INFORMATION

Student 2 Name

First Last

Student 2 Gender

Male
Female

Student 2 Birthdate

Please indicate student's date of birth in format MM/DD/YYYY

Student 2 Date Started Training

Please indicate the date in format MM/DD/YYYY that the student first began training in Soo Bahk Do Moo Duk Kwan at this Certified Studio

STUDENT 3 INFORMATION

Student 3 Name

First Last

Student 3 Gender

Male
Female

Student 3 Birthdate

Please indicate student's date of birth in format MM/DD/YYYY

Student 3 Date Started Training

Please indicate the date in format MM/DD/YYYY that the student first began training in Soo Bahk Do Moo Duk Kwan at this Certified Studio

STUDIO AND INSTRUCTOR

Students Certified Studio*

Provide Certified Studio ID and/or Name

Students Certified Instructor*

Provide Student's Instructor's Dan ID and/or Name

PARENT / GUARDIAN IF STUDENT IS A MINOR

Relationship To Student*

Mother's Name

First Last

If student is a minor, please provide Mother's/Guardian's Name

Father's Name

First Last

If student is a minor, please provide Father's/Guardian's Name

CONTACT INFORMATION

Preferred Email

Please provide an email address that is active

Cell Phone

Format (###)###-####

Home Phone

Format (###)###-####

Work Phone

Format (###)###-####

Name We Should Deliver Your Membership Packet To*

Street Address City State / Province / Region ZIP / Postal Code Country

Provide the address that we should mail the student's membership materials to.

In care of:

If items mailed to the student should be addressed to a different name in order to assure delivery, please provide that name here. Postal carriers may return items that are addressed to children with different names than the primary addresee at a location.

SELECT YOUR MEMBERSHIP BELOW

Chose your membership from the choices listed below.

Activate A Household Membership?*

No, Activate an individual membership
Yes, Activate or Renew a Household Membership
Add student(s) to our existing Household Membership

Total Number of Active and Inactive Students In Household*

Please enter a value between 1 and 10.

Please indicate the total number of students in your family/household even if some are no longer actively training.

For example, one person is no longer training, one person is already training and you are activating membership for a 2nd person who has begun training = 3. This information helps us assure that your household information is properly configured.

Qty of Years of Selected Membership*

Extend your membership today for as many years as you want to lock in the current membership rates and beat future membership dues increases.

Select Your Membership (+$3.50 Online Convenience Fee)*

If you do not pay online, then submit your payment instructions, Cash, Check or Money Order to:
United States Soo Bahk Do Moo Duk Kwan Federation
20 Millburn Ave Floor 2
Springfield, NJ 07081
(888) SOO-BAHK

Online Convenience Fee

$3.50

The online convenience fee is added to all transactions. When you order more than one year of membership, you only incur the convenience fee once, NOT once per year of membership as you do when ordering membership one year at a time. Save by extending your membership.

Total Due

$0.00

Total amount that you are authorizing us to charge you upon submission. You may cancel auto-renewing memberships at anytime. Lifetime Memberships do not autorenew.

Special instructions (if any) that we may need to complete your request

If you are RENEWING your membership, please indicate that and provide your Member ID. If you received a RED POSTCARD please indicate that as well.

PAYMENT INFORMATION

Name of Person Remitting Payment*

First Last

Name of Payor, name on credit card, name on PayPal account, etc.

Payor's Email

Enter Email Confirm Email

Email address of person remitting payment. You will receive an email confirmation of your payment when you provide a valid email address.

Payment Method*

NOTE: AFTER YOU SELECT A PAYMENT METHOD AND CLICK THE SUBMIT BUTTON, then the form to enter your payment details will display.

This assures that even if your payment fails for any reason, your membership registration will still be on file.

When you choose any payment method other than Credit Card or PayPal and submit this form your information and reason for paying offline will be saved; however, your application will not be processed without your payment.

You are responsible to followup and remit payment promptly.

For Credit Card or PayPal payments completed online, as soon as a staff member processes your application you will receive an email notification (if you provided a valid email address) and a PDF copy of your membership card for immediate use. -- New Member packets are mailed via the U.S. Postal Service.

If your instructor requested that you provide proof of Federation membership to be eligible for an upcoming rank certification exam and you need proof immediately, you can print out the payment receipt that you will receive via email after clicking the submit button below or the confirmation page that you will be directed to after clicking the submit button below and present either to them as proof that you have registered and are awaiting issuance of your membership ID.

Headquarters automatically emails a copy of your membership card to your instructor at the same time it is emailed to you so they have immediate notification of your membership ID.

OFFLINE PAYMENT OPTIONS

Pay By Phone (888) 766-2245 with Credit Card

The following payment methods will take longer for you to receive your membership ID and membership packet.

For Cash, Check or Money Order payments mailed to Headquarters, membership application is processed after payment has been received at Headquarters and clears the bank.

Checks should be mailed to:
MEMBERSHIPS
United States Soo Bahk Do Moo Duk Kwan Federation
20 Millburn Ave Floor 2
Springfield, NJ 07081

Applying For Hardship - send an email with your reason for requesting a hardship to hardship@soobahkdo.com

Apply Account Credit - If you have existing credit on your member account and would like to apply that credit toward this order please call (888) SOO-BAHK

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New Member - 1st Time Membership Application

NEW AND RENEWING MEMBERS PLEASE PROCEED

NEW STUDENT OR RENEWING STUDENT INFORMATION

STUDENT 1 INFORMATION

STUDENT 2 INFORMATION

STUDENT 3 INFORMATION

STUDIO AND INSTRUCTOR

PARENT / GUARDIAN IF STUDENT IS A MINOR

CONTACT INFORMATION

SELECT YOUR MEMBERSHIP BELOW

PAYMENT INFORMATION

OFFLINE PAYMENT OPTIONS