Pay Your Annual SAKA Dues - Tampa Bay Shotokan

Annual SAKA Dues Payment

Tampa Bay Students
Step 1: Student Information

Please tell us about the students whose SAKA dues are renewed.
Black Belts
Number of black belts?
Brown Belts
Number of brown belts?
Color Belts
Number of color belts?
Black Belts

Please complete for each black belt student
Last name
Black belt #1 last name
First name
Black belt #1 first name
Rank
Black belt #1 - Dan rank
Last name
Black belt #2 last name
First name
Black belt #2 first name
Rank
Black belt #2 - Dan rank
Last name
Black belt #3 last name
First name
Black belt #3 first name
Rank
Black belt #3 - Dan rank
Brown Belts

Please complete for each brown belt student
Last Name
Brown Belt #1 - Last name
First Name
Brown Belt #1 - First name
Rank
Brown Belt #1 - Kyu Level
Last Name
Brown Belt #2 - Last name
First Name
Brown Belt #2 - First name
Rank
Brown Belt #2 - Kyu Level
Last Name
Brown Belt #3 - Last name
First Name
Brown Belt #3 - First name
Rank
Brown Belt #3 - Kyu Level
Color Belts

Please complete for each color belt student
Last Name
Color Belt #1 - Last name
First Name
Color Belt #1 - First name
Rank
Color Belt #1 - Kyu Level
Last Name
Color Belt #2 - Last name
First Name
Color Belt #2 - First name
Rank
Color Belt #2 - Kyu Level
Last Name
Color Belt #3 - Last name
First Name
Color Belt #3 - First name
Rank
Color Belt #3 - Kyu Level
Step 2: Payor's Information
First & Last Name

First Name Last Name
Your E-mail Address
Phone Number

Area Code Phone Number
Step 3: Payment Information
Please select the number of students in each category to calculate your total annual dues. Note: you must input each quantity manually, as it is not automatically carried down from the information you input above.

Also, instructor training program enrollment and/or annual dues are for Nidan+ only.
Annual SAKA / Instructor Dues*
prev next ( X )
Black Belt $ 30.00

Quantity
Item subtotal: $ 0.00

Brown Belt $ 25.00

Quantity

Color Belt $ 20.00

Quantity

Annual Instructor Dues (Opt for Nidan & up) $ 35.00

Quantity
Item subtotal: $ 0.00

Instructor Training Enrollment (Opt for Nidan & up) $ 190.00

Quantity
Item subtotal: $ 0.00

Total $ 0.00
Are you paying make-up dues for any prior year(s)?

Yes No
List the make-up year(s) and student(s)
Make-up dues
Step 4: Submit and Pay (or Clear Form and Start Over)
Comments? Questions? Criticisms?
Be nice.....this is not my day job :-P
Should be Empty:

Annual SAKA Dues Payment

Step 1: Student Information

Black Belts

Brown Belts

Color Belts

Step 2: Payor's Information

Step 3: Payment Information

Step 4: Submit and Pay (or Clear Form and Start Over)