
www.wwicba.com
Membership Registration Form
For Accuracy, Please Print or Type Neatly!
Members receive: ICBA Members Certificate and Full Association Rights
and Privileges
SEND A COPY OF YOUR CURRENT RANK CERTIFICATE AND
RECEIVE A FREE ICBA CERTIFICATE
OF RANK ACCEPTANCE
The ICBA is a fraternal Chinese Martial Arts Organization you
must be enrolled in a
martial arts program or
enrolled in the ICBA Independent study program to become a member.
Schools who can prove the rank of their Master Instructor or Shi-Fu
with documented and/or
verifiable information or lineage may join the ICBA World Wide for $125.00 per
year. This fee will cover
ICBA certificates for 100 students and up to 5 Black-Sashes.
Individual requests for membership (with proof of study and a
commitment to continue study) can
be honored for a fee of $25 per year
Signatures:
Registration Date____________________
Amount of $25.00 per year membership fee due and please pay by money order.
NO PERSONAL CHECKS ACCEPTED
Print form and send to ICBA HQ with US$25 Money Order
ICBA HQ
1800 USA Drive
Plano, TX 75025
Questions? Email chairman@wwicba.com