Union UTA Martial Arts/SAMI UNION: 3rd Degree Black Belt order form

3rd Degree Black Belt Candidate

equipment order form

This form covers all weapons, uniform requirements,

and belt for 2nd degree to 3rd degree black belt. Other than boards,

their will be no other ordering requirements for approx 4years!

INFO:

Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

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Registrant Fee:		$0.00
Group Fee:		$0.00
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Billing information

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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. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*UNIONSUNITEDTAEKWOND 8882448044 ONLINE REG FEE". 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.

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Please click the button below to finalize your registration.

Registration inquiries:
Union UTA office Staff
office_manager@unionuta.com
(908) 687-5559

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Registrant

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OPTIONAL-Uniforms- black belt uniforms are a different material and make up then those used by colored belts. The uniform will have the school logo and students name embroidered on the back. 3rd degree black belts wear RED uniforms

Heavy Weight Uniform-$150

This is the traditional 10oz uniform worn by most black belts. They do run large and will last for years.

Middle Weight Uniform-$130

This is a 7.5oz uniform. It is a lighter version of the more traditional uniform.

REQUIRED-Embroidered belt- $85

Your choice of traditional White or Red Thread

First Name

Last Name

Please choose which black belt uniform you would like

Size of RED uniform?

Red or Black Pants?

Name on uniform? 1st initial and last name.

3rd degree embroidered black belt

Please specify size and name on belt (traditionally full name)

Please note TAX will be added into final payment.

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