IMFtm Online Application Order Form

Please mail copies of current rank certificates for each rank recognition certificate ordered. Copies of current certificates will be necessary before processing orders. If copies of certificates are unavailable, a videotape demonstration of appropriate skills is required.

By submitting this order, you pledge on your honor that the information provided in this application and its attachments are true and accurate representations.


Premier Membership
Name/Rank/Art

Deluxe Membership (rice paper certificate)
Name/Rank/Art/Japanese, Chinese, Korean

Deluxe Membership (parchment certificate)
Name/Rank/Art/Japanese, Chinese, Korean

Traditional Membership (rice paper certificate)
Name/Rank/Art/Japanese, Chinese, Korean


Traditional Membership (parchment paper certificate)
Name/Rank/Art/Japanese, Chinese, Korean

Add'l Premier Rank
Name/Rank/Art

Add'l Deluxe Rice Paper Rank Certificate(s)
Name/Rank/Art/Japanese, Chinese, Korean

Add'l Traditional Rice Paper Rank Certificate(s)
Name/Rank/Art/Japanese, Chinese, Korean

Add'l Deluxe Parchment Rank Certificate(s)
Name/Rank/Art/Japanese, Chinese, Korean

Add'l Traditional Parchment Rank Certificate(s)
Name/Rank/Art/Japanese, Chinese, Korean

School Recognition
School Name/Art

Instructor Recognition
Name/Art

Custom Black Belt single line single line, less than 25 letters (US order)
Name/Art/# Stripes/Color (red or gold)

Custom Black Belt single line, less than 25 letters (INTL order)
Name/Art/# Stripes/Color (red or gold)

Custom Black Belt double line more than 25 letters(US order)
Name/Art/# Stripes/Color (red or gold)

Custom Black Belt single line more than 25 letters (INTL order)
Name/Art/# Stripes/Color (red or gold)

Founder/Headmaster Recognition
Name/Rank/Art

Add'l Federation Patches
number

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