WPA & European Record Certificate Order Form

WPA & European Record Certificate Order Form

We offer both high quality emailed PDF and JPG certificates for professional printout certificates. Certificates that are mailed are available to everyone!
Full Name*

First NameLast name
Home adress*

Street Address

Street Address Line 2

CityRegion / State

Postal \ ZIP code
Email*
example@example.com
Phone*

Country codeMobile codeNumber
Name of Event or location where record was set*
Date of Birth*

МісяцьДеньРік
Date
Date Record Was Set*

МісяцьДеньРік
Date
Category*

TestedNot Tested
What was your age when you set this record?*
Level of Record*

European RecordWorld record
Category*
Age Division Record was set in? *
Weight Class in kilos*
Record Lift Performed*
Enter the amount you lifted for your record lift OR if you are ordering a certificate for a Record Total specify the total*
Signature

Clear
Type of Certificate
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Emailed PDF European Record Certificate For PrintoutProfessional quality PDF Printout Certificate sent by email for printout and framing. We will also send a jpg photo for social media posts.
$10.00

Emailed PDF World Record Certificate for PrintoutProfessional quality PDF Printout Certificate sent by email for printout and framing. We will also send a jpg photo for social media posts.
$20.00

Загальна Сума

$0.00
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