SEMI-CUSTOM MARTIAL ARTS

This is the information we will use to complete your certificate.

Please fill in the boxes EXACTLY the way you want the certificate to read.

Leave the boxes blank where you do not want that info on the certificate. 

Name of School:   

Location of School: City   State or Country:

Style of Martial Arts:

Instructor Name: Rank: 

Instructor Title:

Name of Award Recipient 

Rank Obtained:

Date of Award:

Will You be providing logo graphics? yes  no, If yes, do not send graphics until we contact you.

Here is a sample of award wording for the English portion, please feel free to change:

This is to certify that the above named person has completed all the 
mental, technical, and physical requirements of this (Ryu, rank, style etc.) and is therefore 
awarded the rank of (Shodan, 1st Degree, etc.) in hope of continuing commitment towards 
excellence and spirit in (name of style or school name).

If you want something different than the above please let us know below:

Please enter additional information  in the special instructions box below.

Your Contact Info :

All personal information provided will be held confidential

Last Name:

First Name:

Email:

Shipping Info:

Ship To Name and Address:

Please enter additional information in the special instructions box:

Click submit when you have completed the form.

Do Not Need to Pay Now. We will get back to you with a final price first.

                                                    02/03/08