Please
take a printout of this form and fill to register
Registration
Date
:
Since
1993
Contact: Miki International
Co., Inc. Tommy Miki Office: 678-480-9219 Tel
& Fax: 770-552-8829 E-mail: mikiintl@bellsouth.net
www.mikiinternational.com
Dojo (Gym)
Location: Aikido(ACZA) Annex
Dojo
270 S. Atlanta St. Roswell, GA. 30075