Black Tigers International Ninja Society ( 2012 ) Application
L/T - Membership Fee:
$50.00 / USD.
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Full Name:
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Address:
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City:
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State:
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Zip:
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Apt:
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Sex:
Home Phone:
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Date Of Birth:
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Age:
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Email Address:
What is your URL
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Are You A Member Of Any Organization:
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If Yes, Give Registration Number:
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School / Dojo:
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Ninjutsu History!
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Please Give Us The Following Information; Name,Title,and Rank Of your Instructor.
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What is Your Rank Obtained From School/Dojo:
(all black belts must mail us your rank certification)
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Years Of Study:
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Date Of Rank:
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Weapons Proficient In if any:
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Knowledge And Ability:
Excellent:
Good:
Fair:
poor:
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Physical Shape:
Excellent:
Average:
Fair:
Poor:
I would like a Rank Promotion.
1st.dan / $100.00 / USD
2nd.dan / $150.00 / USD
3rd.dan / $200.00 / USD
4th.dan / $300.00 / USD
5th.dan / $395.00 / USD
6th.dan / $495.00 / USD
7th.dan / $595.00 / USD
8th.dan / $695.00 / USD
9th.dan / $795.00 / USD
10th.dan / $895.00 / USD
Are You Any Of The Following:
Genin.
Chunin.
Jonin with no students or school.
Jonin with a school and students.
Im A Shinobi / Shidoshi.
Independent and No Instructor At This Time.
I would like a Certificate of Rank Recognition. I understand that it is not a rank issue by the BTINS. but a Recognition of my Current Ranking.
Recognition of Current Rank only / $35.00 / USD.
Attention:
a copy of your rank certification must be sent to our main office at: UWA-BTINS P.O.Box:1242, Bronx, New York. 10451-1242 Attn: Soke: Angel M. Guerra [ if your rank is black belt or higher ].
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