USBBF Membership Renewal Form

ID #*

Found on original certificate upper right

Name *

First NameMiddle NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date of Birth*

Date

Age

E-mail*

Phone Number:*

Gender*

Felony Conviction?*

Date You Began Training?*

Year

Current Rank*

Any Changes For File?*

The applicant acknowledges and agrees that they are not authorized to use the United States Black Belt Federation authority, name, or logo in any manner without permission from United States Black Belt Federation. The United States Black Belt Federation name and logos may not be used on any letterhead, certificates, logo’s or facsimile’s of logos and on uniforms, created or outsourced by the applicant school(s,) instructor(s), and student(s).
However, the member is allowed to wear the United States Black Belt Federation patch on their uniform. You are of course welcome to say your a member, share USBBF posts, all the things any member would do just dont make yourself out to be something your not. If you want to use the logo in your advertising - let us know and we'll work with you.

Agree?

Multiple forms, documents, money orders, checks may be submitted via mail. Use "Print Form" button and mail to P.O. Box 666 Gardendale, AL 35071. Documents may be scanned and submitted via email to info@usblackbeltfed.com.

My Products*

USBBF Annual Black Belt Membership Renewal$25.00

Membership materials will be delivered electronically.

USBBF LIFE Membership$75.00

Upgrade to a LIFE membership. Membership materials will be delivered.

USBBF Member Patch$12.00

Quantity
Item subtotal:$0.00

International Shipping$15.00

International shipping of Renewal Materials. If not selected, renewal materials will be sent electronically.

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Application For Membership Renewal

Payment Methods