KISS: Join Form

KISS Online Join Form
The world's premier kitesurfing training system !

Send us an e-mail, or fill out this on-line form to join the KISS!

- Full name
- Phone number
- Fax number
- Email address
- Street address
- City
- State/Province
- Zip/Postal Code
- Country
- Age
- Years Kiteboarding
- Course Taken
- Course Location
- Trainer Name
- Certification Level
- Course Date
- Other Certifications Held

I want some information about the K.I.S.S.? YesNo
I want to become a K.I.S.S. Instructor? Yes No
I want to become a K.I.S.S. Training Center? Yes No

Description	Registration Fee	Annual Fee
KISS Kiteboarder	$0.00	$0.00
KISS Instructor	$18.00	$0.00
KISS Training Center	$125.00	$50.00
Instructor Equivalency	$9.00	$0.00

The registration Fee is a one time fee for the cost of Certification.
Annual Fees will be billed to your mailing address where applicable.

Select Payment Method:
	For credit card purchases only:
	Card:
	Card number:
	Name on card:
	Expiration date:
	Total Amount:

COMMENT:

Credit card payments are handled by a third party processor.

If NOT paying by credit card, please send check or money order for the total amount you selected to:

Kitesurfing International Safety System
www.kitesafe.org

Receipts can be obtained by writing to the above address.