2 2026 RENEWAL MBA MEMBERSHIP FORM

MBA MEMBER RENEWAL FORM 2026

Please note, all registrations are per calendar year and will expire on 31 December 2026.
CURRENT MBA NUMBER

Photo upload

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Please upload a Passport style photo. Selfie is OK, as long as its clear and recent. Cancelof

First Name
Last Name
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
STATE
Mobile Phone Number
Email
example@example.com
Gender
Date Birth

MonthDayYear
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
WHAT IS YOUR WEIGHT TODAY
HOW MANY FIGHTS HAVE YOU HAD- PLEASE INCLUDE EXHIBITIONS
Will you be entering the 2026 MBI Oceania Titles? (These will be held at the same time as the 2026 Pan Pacific Masters Games.)
I understand that when competing in any competition for the MBA, I will need the following

MBA MEMBERSHIP RENEWAL 2026

MBA MEMBERSHIP RENEWAL

$130.00 AUD

Total

MBA MEMBER RENEWAL FORM 2026