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

Make payment with PayPal, email: lbbaker@irondawg.com

Affiliation fee must be paid annually before May 31.


Name of Country____________________________________________________________________________________________________________

Contact person/organization___________________________________________________________________________________________________

Web Site__________________________________________________________________________________________________________________

Email_____________________________________________________________________________________________________________________

Telephone_________________________________________________________________________________________________________________

Postal mailing _address______________________________________________________________________________________________________

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Affiliated country / representative agrees to follow the rules, guidelines, 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.  The member country / representative agrees to not support or promote other powerlifting federations and to promote and support only the Global Powerlifting Alliance, Inc. / International Powerlifting Organization during the term of this agreement which is January 1 to December 31 each year.

 

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Signature

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