Eastern U.S.A. International Martial Arts Association, Inc.

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Nomination Ballot/Electronic RSVP

26th Annual 2013 Global Leadership Conference
and 
 U.S.A. International Black Belt Hall of Fame
Induction Ceremonies


If you wish to nominate a martial arts colleague, mentor, student, etc., upload the Official Nomination Ballot below.
 All nominations are subject to approval.

Electronic RSVP
If you were invited to the 26th Annual 2013 Global Leadership Conference &
wish to RSVP online, please complete the form below.

Title:

First Name:

Last Name:

Date of Birth:

Address Street 1:

Address Street 2:

City:

State:

Zip Code:

Country:

Contact Phone:

Current Rank:

Email:

Induction Sponsor:

Attending the Ceremony Conference Weekend
Number of Estimated Guests:

No, I will not be attending the Ceremony Conference Weekend and wish to accept through the mail
You will receive an email verifying the above information.  If you do not receive notification of registration received within seven days, please contact our offices at 1-800-456-EUSA (3872)

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