UNITED STATES MARTIAL ARTIST ASSOCIATION

Hall of Fame Banquet and Awards Ceremony

 

2012 Hall of Fame Reservation Form

Full payment must be made at time of registration

 

The United States Martial Artist Association Hall of Fame Banquet will be held July 21, 2012, at the Holiday Inn - Conference Center at FSK Mall 5400 Holiday Drive, Frederick, Maryland, 301-694-7500. We are anticipating an overwhelming response, so please make your reservation as early as possible. Please complete this reservation form and return at once along with your check or money order or use our PayPal from our catalogue (Not refundable if you decide later not to attend for any reason). If paying by check, make your payment payable to the SGM William A. Rankin, or pay with PayPal located in our Hall of Fame Payment Page. Your reservation allows you to attend all of the seminars/clinics that will be conducted throughout the day.

 

 

Reservation #1

First Name                           M.I.                             Last Name

      Street Address                                                             City                             State/Country   Zip

 

        Telephone                                                                    I would like to sit with Inductee

 

Reservation #2

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                      State/Country    Zip

        Telephone                                                                 I would like to sit with Inductee

 

Reservation #3

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee

 

Reservation #4

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee

 

Reservation #5

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee

 

Reservation #6

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee

 

 

Reservation #7

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee

 

 

Reservation #8

 

First Name                           M.I.                             Last Name

      Street Address                                                             City                              State/Country      Zip

        Telephone                                                                 I would like to sit with Inductee