Text Box: Mail to: World Cup Martial Arts Organization P. O. Box 3276, McLean, VA 22103-3276, USA 1(800) SIDE-KICK Fax 703.288.2933 WWW.WCMAO.COM Text Box: 2006 World Cup Finals Martial Arts Championship, P. O. Box 3276, McLean, VA 22103-3276, USA - - 1-800-SIDE-KICK - - - WWW.WCMAO.COM Text Box: 2006 WCMAO Membership ( Annual fee $75.00 before 03/31/07) _______________________________________________________________________________________________________ Last Name First Name Middle Name Date of Birth _______________________________________________________________________________________________________ Street Address City State Zip Code _______________________________________________________________________________________________________ Telephone #’s (Home) Work Other E-mail _______________________________________________________________________________________________________ Gender (Male/Female) Rank (Black Belt, Advance, Intermediate, Beginner) Country