DYNAMIC FIGHTING ARTS
Rank Testing Application

Credit Card (click checkout then click "continue")

Paypal

Testing for our Shaolin Video Level Requirements 1-6 
OR Testing for our Kuntao Level Requirements 1-5
OR Kali Phase 1-5

Please accept my application for Individual Rank Testing in the Dynamic Fighting Arts Organization. I have enclosed my testing fee and certify that I have completed at least 30 hours of training for each level.

Your Name
Address
City
State
Zip
Country
Your Email Address
Age
Occupation
Style (kali, kuntao, shaolin)
Level testing (1,2,3...wht, yel)
Date
Image Verification Please enter the text from the image: [ Refresh Image ] [ What's This? ]

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Make checks or Money Order payable to: David Seiwert
Payments can also be made through PayPal

If you would rather mail it to us please print, fill out the following Testing Application and
mail  to: Dynamic FightingArts
    P.O Box 531183
              Cincinnati, Ohio 45253

Name:___________________________________________________________

Address:_________________________________________________________

City: ________________ State: _____  Zip: _____________

Age: _________

Occupation:______________________________________________________

Email address:____________________________________________________

Rank Testing for (Style & Rank): ________________________________

Please accept my application for Individual Rank Testing in the Dynamic Fighting Arts Organization. I have enclosed my testing fee and certify that I have completed at least 30 hours of training for each level.

Applicant Signature___________________________Date_________________

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