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Karate Judo Jiu-jitsu
Aplication Form

Dear Instructor,

Thank you for your interest in our products.

Our wholesale prices are available to club head instructors only. In order to obtain wholesale prices, it is necessary to provide us with a proof that you are indeed the head instructor of a martial arts club.

We accept any one of the following:

1. Club web site with your name appearing as the head instructor
2. Any martial arts web site with your name and club listed
3. Your club business card
4. A copy of your club registration with a martial arts organization with your name appearing on it.

If you are in charge of ordering equipment for the club, but do not meet any of the above requirements to obtain wholesale prices, please fill in the form anyway and have the head instructor send us a note confirming you can order on his/her behalf.

To apply for a wholesale account please fill in the form bellow:

 

Arawaza wholesale account application:

 

Applicant information:

 

Name:
Club name:
Martial Art:
Martial Art Style:
Rank:
Num. of clubs:
Num. of students:
How did you hear about our company?


Club Address:

 

Address:
City:
State / Province:
Zip / Postal Code:
Country:
E-mail:
Website:
Tel:
Fax:


Mailing Address:
(leave blank if the same as above)

 

Address:
City:
State / Province:
Zip / Postal Code:
E-mail:
Tel:
Fax:


Proof:

The fastest way to prove that you are the head instructor would be your club website or a link to another website (e.g. association or federation) that lists you as the head instructor.

Please choose one or the other:
 

1. Website:
Provide the direct link to the web page where your name appears as the head instructor.
or
 
2. Upload Image:

We accept: business card, club registration, club letterhead etc... as long as your name appears as the head instructor.

You can also send your proof by fax at: 1 450 477-4400

Enter your comments below (if any):

Applicant title:

Head Instructor
Other (please specify):

Security code:
Enter the code above:

 
 

 

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