:. PTI Membership Renewal Application

Enter in your information in the text boxes below and click the Print button when finished.

Name:
Address:
Address 2:
City:
State/Prov:
Zip Code:
Country:
Email:
DOB:
PTI Member #:
/ /
T-Shirt: Large
Extra Large
Not Applicable
Comments:
:: Membership Type
Gold US:
Gold Foreign:
Silver 1 Year:
$45 - Includes T-Shirt & Patch
$50 - Includes T-Shirt & Patch
$30 - without T-Shirt & Patch

Send check or money order made payable to "Pekiti-Tirsia International" to:

Pekiti-Tirsia International
P.O. Box 662
Fishkill, NY 12524
USA

*Note to foreign members: Your check or money order must have the U.S. branch address of the issuing bank preprinted on its face in order to be processed.