2014 PNBA MEMBERSHIP FORM
MEMBERSHIP FOR PROFESSIONAL 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 ADD 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 Open____Bodybuilding Masters Men_____ Fitness_____Figure_____
Sports Model_____

Bikini Divas_____ Physique_____ Physically Challenged (Seated/Staning)____ Mixed Pairs_____

Applicants Signature__________________________________________________

If Under 18 Parent's Signature__________________________________________

By signing this membership form, you are agreeing to: in and out of competition testing.
If you refuse when asked to test you will be automatically banned for life.

Please Send My: 2014 PNBA Membership* $125.00, after January 31st $150 (NO REFUNDS!)
***Please note, add an additional $5.00 fee for processing.


Please Choose:

Visa______ Mastercard_____ Check_____ Money Order_____

Total Charged to Card:______________

Card #:_________________________________________ Exp. Date____________ 3digit code_____

Signature____________________________________________________________

Please Make Checks & Money Orders Payable To: "Mt. Olympus Inc."
Mail application and entry fee to:
Mt. Olympus World Headquarters of the ABA/INBA/PNBA P.O. BOX 78177 CORONA, CA 92877-0139 or Fax (951) 734-7749 with Mastercard or Visa Information HOT LINE (951) 734-3900