Eastern USA International Martial Arts Association, Inc.


Eastern USA International Martial Arts Association
Membership Application

Complete this form to submit your
new or renewal membership application.

Membership fees apply only when application is approved.

New Annual Membership $50      Renewal Annual Membership $35

Included with every new annual membership:
11" x 17" Membership Certificate
EUSAIMAA Membership Patch
International I.D. Card
Association Information Brochures
Official International EUSAIMAA Newsletter
Placement on Special Mailing List
And much more!

Please check which membership
you are applying for

 New Annual Membership


 Renewal Annual Membership*

*If past member, your membership ID number

First Name

Last Name






Home Phone

Cell Phone

Date of Birth


Current Martial Arts Rank

Style of Martial Arts

Current Instructor (If any)

Martial Arts Title (If any)

What year did you begin martial arts?

Do you have a membership sponsor?




If "yes" please list name.

Do you belong to any other martial arts groups or associations?

If so, please list in box to the right.


Your martial arts bio (optional)

When you submit the above application, please contact us using the information below:

Email: eusaimaa@aol.com      or    Office Land Line: 412-561-2103

All new members are required to be sponsored (recommended) by a current EUSAIMAA member.  Thank you.

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