2013 ABA/INBA MEMBERSHIP
FORM
MEMBERSHIP FOR AMATEUR ATHLETES
BE PART OF
THE WORLD WIDE LEADERS IN NATURAL BODYBUILDING AND FITNESS
And
support drug-free sports
**COMPLETE ENTIRE FORM*PLEASE PRINT NEATLY**
** SEND MEMBERSHIP FORM IN NOW**
(DO NOT FORGET TO INCLUDE YOUR EMAIL ADDRESS)
First Name__________________________________________Last Name______________________________________
Address____________________________________________________City_____________________________________
State________________Zip/Postal Code_________________________Country_________________________________
E-mail_________________________Home Phone_______________________Work Phone_______________________
Birthday_________/_________/_________Age________________ Height________________Sex_________________
Occupation______________________________________________ Date of Application________/________/_________
GYM INFO.
Name_______________________________________________________
Address_____________________________________________________
City___________________________State_________________________
Zip/Postal Code__________________Country______________________
Interested in: Bodybuilding____Fitness_____Figure_____Model
Search_____
Bikini Divas_____ Kids and Teens Fitness_____
Applicants Signature__________________________________________________
If Under 18 Parent's Signature__________________________________________
|
Please Send My: 2013 ABA/INBA
Membership* (NO REFUNDS!) If
you purchase your card between January and June 30th, your card will expire
December 31st of the same year, if you purchase your card between July
and December 31st, your card will expire June 30th of the following year. Please Choose: Visa______ Mastercard_____
Check_____ Money Order_____ Card #:_________________________________________ Exp. Date____________ 3digit code_____ Signature____________________________________________________________ Please Make Checks & Money
Orders Payable To: "Mt. Olympus Inc."
|
