MBA MEMBER RENEWAL FORM 2024
Please note, all registrations are per calendar year and will expire on 31 December 2024.
CURRENT MBA NUMBER
*
if you don't know your current number, its on the front of your book. if you can't find your book, we may have it and we charge $20 to post it to you . email, jack@mastersboxingaustralia.com.au
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Email
*
example@example.com
Gender
*
Male
Female
Date Birth
*
-
Month
-
Day
Year
Date
AGE TODAY -
*
please note that if registering for an MBA event, you will be asked what your age will be at the date of weigh-in for that specific event
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WHAT IS YOUR WEIGHT TODAY
*
HOW MANY FIGHTS HAVE YOU HAD- PLEASE INCLUDE EXHIBITIONS
*
Please Select
0
1-5
6+
HAVE YOU FOUGHT AS A PROFESSIONAL IN ANY COMBAT SPORT IN THE LAST 12 MONTHS. Please note, you cannot register with MBA if you have fought as a pro in the last 12 months
*
Please Select
YES
NO
I understand that when competing in any competition for the MBA, I will need the following
*
Doctors clearance to compete
Serology test for Hepatitis, HIV, Cholesterol and prostate and if female under 50, a pregnancy test
Mouthguard and protector cup
ALL OF THE ABOVE
My Products
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MBA MEMBERSHIP RENEWAL
MBA MEMBERSHIP RENEWAL
$
110.00
AUD
NEW BOOK & POSTAGE
DO YOU NEED A REPLACEMENT BOOK ? WE CAN SEND THIS OUT VIA AUSTRALIAN POST.
$
35.00
AUD
Credit Card
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