Global Powerlifting Alliance
International Powerlifting Organization

P O Box 40
Bogart, Ga. 30622
USA
www.globalpowerliftingalliance.com
Email:  lbbaker@irondawg.com

Application for Membership Affiliation

Yearly fee:  $100.00

Affiliation fee must be paid annually before May 31.


Name of Country____________________________________________________________________________________________________________

Contact person/organization___________________________________________________________________________________________________

Web Site__________________________________________________________________________________________________________________

Email_____________________________________________________________________________________________________________________

Telephone_________________________________________________________________________________________________________________

Postal mailing _address______________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________


Affiliated country agrees to follow the rules and by-laws of the Global Powerlifting Alliance, Inc. / International Powerlifting Organization, a US Corporation incorporated under International Law with the power to engage in international commerce in accordance with individual country laws.

 

____________________________________________________________________________________Date___________________________________
Signature

back