HALL OF FAME NOMINATION
PRINTABLE FORM

Print this form page, fill it out and send it to:

American Federation of Jujitsu
1225 Felmey Road
Winfield, PA 17889 USA

I, would like to nominate the following AFJ member for induction into the American Federation of Jujitsu Hall of Fame.

Nominee Name_____________________________________________________

Date of Birth_______________________________________________________

Mailing Address ____________________________________________________

Email Address______________________________________________________

Home Phone_______________________________________________________

Mobile Phone______________________________________________________

Rank_____________________________________________________________

Title _____________________________________________________________

Style ____________________________________________________________

Category

__________INSTRUCTOR OF THE YEAR

__________STUDENT OF THE YEAR

__________OUTSTANDING MARTIAL ARTS CONTRIBUTION

 

Brief Biography of Nominee