Dan Membership Renewal

1
Dan Membership Number* This field is required.Please enter 5 digit number only without leading zero, comma, nor D.
2
Name* This field is required.
First Name
Last Name
3
Email
example@example.com
4
Current Membership Expiration Year* This field is required.Please log-in on wtsda.com to verify your membership expiration year if you do not know when your membership expires. If you do not have an access to your account, please reset your password to gain access to your account on wtsda.com.
5
Current Date
Date
Month
Day
Year
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7
BackDueCalculation
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Back Due waiver* This field is required.If your membership lapsed over a year ago, you have the option to have your outstanding balance waived as a one-time opportunity. However, please note that if you choose to have your membership dues waived this time, you will not be eligible to have them waived again in the future when renewing your membership. We highly encourage you become lifetime member so that you don't need to worry about you black belt membership in the future,.
Please Select
Please Select
I'd like to get my back due waived as one time opportunity.
I'd like to pay my back due now.
9
Back Due(USD)You need to pay $15 per year for past due to renew multiple years.
If you purchase lifetime membership, the back due amount can be waived.
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Membership Renewal Years(Lifetime membership discount available)* This field is required.If you changed "Current Membership Expiration Year" after you choose this option, you need to select the number of years you'd like to renew your membership for again to see correct fee amount on the check out page.
3 years(40 USD)
5 years(65 USD)
10 years(125 USD)
15 years($175 USD)
Lifetime($200)
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Membership Renewal Years* This field is required.If you changed "Current Membership Expiration Year" after you choose this option, you need to select the number of years you'd like to renew your membership for again to see correct fee amount on the check out page.
3 years(40 USD)
5 years(65 USD)
10 years(125 USD)
15 years($175 USD)
Lifetime($250)
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Your new membership expiration year after payment is
13
Lifetime
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Fee amount less than back due
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Fee Calculation
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Membership Renewal Fee Total
prevnext( X )
Description
USD
+ OR enter a custom value
17
Payment Methods
Debit Or Credit Card
First Name
Last Name
Select PayPal Method
Please click one of the PayPal options to complete payment and submit the form.
Should be Empty: