Home Home. Hall of Honors. Magazine Archive. Store. Links. Contact.

Online Application

Return to Gold Shield Project
First Name
Last Name
Address
City/Town
State
Zip
Country
Phone (Home/Office)
Mobile Phone
Email Address
Rank Certificate Image Upload

Disclaimer :  The Gold Shield Pin Project is not a Certification program , its purpose is to register accomplishments with a rank certificate from your instructor , and will be Recognized By Action Martial Arts Networks as such. The Pin Is not to be used in any way as a law enforcement pin and used for display of such . due to its size and purpose stated above it can not be used in any official manner of I.D.  and sequentially is a novel idea and Item as such .

Download Printable Application

If there are any problems using our Automated System, you can also Download our Printable Application and Send your Rank Certificate by Mail if nessessary.  Please also include the signed Gold Shield Shidld Disclaimer.

Download Printable Disclaimer