2016 PNBA MEMBERSHIP FORM
MEMBERSHIP FOR PROFESSIONAL ATHLETES

CONGRATULATIONS ON BECOMING AN ELITE MEMBER
OF THE #1 GLOBAL PROFESSIONAL NATURAL ORGANIZATION
DREAM BIGGER!!!


**COMPLETE ENTIRE FORM*PLEASE PRINT NEATLY**
** SEND MEMBERSHIP FORM IN NOW**

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State________________Zip/Postal Code_________________________Country_________________________________

E-mail_________________________Home Phone_______________________Cell Phone________________________

Birthday_________/_________/_________Age________________ Height________________Sex_________________

Occupation______________________________________________ Date of Application ________________________

How are you PNBA Pro Qualified:
Division:_________________ Contest Name:_________________________ Date:__________________

 

GYM/TRAINER INFO.

Gym/Trainer Name_______________________________________________________

Address_____________________________________________________

City___________________________State_________________________

Zip/Postal Code__________________Country______________________

 

Interested in:
Bodybuilding Open____Bodybuilding Masters Men_____ Figure_____ Figure Masters______ Figure Classic_____Sports Model_____

Bikini Divas_____ Bikini Divas Masters_______Physique______ Physique Masters_____ Physically Challenged (Seated/Standing)____

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.

PNBA Titles that you win, if used in any media or publication, must be used
with PNBA recognition, for example PNBA Natural Universe Masters Champion
You may be stripped of your title if not used properly.

Please Send My: 2016 PNBA Membership $150 ****SPECIAL DISCOUNT - Jan 1st - 30th PNBA Membership $125 (NO REFUNDS!)
***Please note, add an additional $5.00 fee for processing.


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Mail application and entry fee to:
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orld 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