School/Club Membership Form

United States Taekwondo Won, Inc. is a Non-Profit Organization Promoting Taekwondo in the United States of America.

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Registrant Fee: $0.00

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First Name:
Last Name:
Address:
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Phone:
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Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. The phrase "8882448044 ONLINE REG FEE" will appear on your bank or credit card statement. Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
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Registration inquiries:
Mail: 3501 MacCorkle Ave. SE Suite #127
Charleston, WV 24304-1419
Phone: (304)539-3044
Email: info@ustw.org
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First Name
Last Name
Title
Address
Address (line 2)
City
State
Zip
Country
Home Phone
Email
Taekwondo School Name
Web Page Address
State Association
USTW School/Club
NOTE: Enter your club number above for renewals only. If you do not know your Club Number simply write 'renew'. If you are a new member simply enter 'new'.
Previous Membership Years
Select Membership Payment
Voluntary Tax-Deductible Donation
Terms
The above mentioned School/Club hereby agrees to abide by the Articles of Incorporation, Bylaws, and Rules and Regulations of the United States Taekwondo Won, Inc., as amended, and represents that it meets the requirements for USTW School/Club Membership. The undersigned is an officer of the applicant School/Club and has been duly authorized by it to sing this application on its behalf. Registration and Certification fees are neither refundable or transferable.
Check this box to indicate that you have read and agree to all of the above terms & conditions
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