IBKO Belt Upgrade Form

IBKO BELT UPGRADE REQUEST FORM

Belt upgrade price = £95 inc VAT + £9.95 postage inc VAT
Competition Entered*
Club/Gym*
Categories ordering belt for:*

Light Contact Kickboxing - RingBoxing Light Contact - RingLow Kick Rules LightLight Contact Kickboxing - TatamiFull Contact BoxingFull Contact KickboxingFull Contact Low Kick rulesOther
NOTE:Belt upgrade submissions will be checked against Kihapp to ensure elegability. Any false claims will not be refunded and no belt will be received.
Name of winning competitor*

First NameLast Name
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
Invoice will be sent to this email via PayPal
NOTE: All completed applications will be submitted directly to info@internationalboxingkickboxing.org we will then send and invoice for payment via PayPal.

Once payment is recieved we will then process your order.

Shipping can take from 5-21 days depending on volumes ordered as these belts are hand made to order.

Data Protection Act: The IBKO processes personal data in this application in accordance with the Data Protection Act 1998. The personal data will be used solely for the purposes connected with membership application processes, membership data analysis and communication between the IBKO and its members. Your personal information will not be passed to a third party without your consent, with the exception of information pertaining to insurance provision.
Should be Empty:

IBKO BELT UPGRADE REQUEST FORM