Register for the 2010 JKD Wednesday Night Group Annual Camp
September 17-19, 2010
$200 Before Aug 5 / $250 After Aug 6 / $100 Single Day

Two ways to pay for the 2010 camp:
A. Fill out, print the form and mail below it in with the appropriate payment
B. Pay Securely By Credit Card Using Paypal
Payment By Mail
First Name
Last Name
Address
City
State/Province
Country
Postal Code
Email
Phone
School Affiliation
Make checks payable to: JKD Extreme

Mail to:
JKD EXTREME
c/o Richard Carrion
2000 N Congress Ave Lot 40
West Palm Beach, FL 33409
   
Pay By Credit Card Using Paypal
(*$7 service fee applies)
(Look on the left side on the Paypal page for credit card payment)