To become a Registered IAB Gym listed on the IAB Gyms Page
Please Print off the below form, fill it out in full and mail or fax to IAB - See Below for Fees & Sending Info
PLEASE "PRINT" NEATLY

  1. Your Gym/Club Name: ___________________________________________________________
  2. Physical Gym/Club Address. - The EXACT Physical location you teach at.
    ___________________________________________________________________
  3. Gym/Club Website Address:
    _____________________________________________________________________________
  4. Gym/Club Mailing Address if Different.
    _____________________________________________________________________________
  5. Gym/Club Phone Number. ________________________________________________
  6. Do you teach COMPETITIVE Boxers? _____YES _____NO
  7. IF SO, Do you teach _____Pro Boxers and or _____ Amateur Boxers?
  8. IF SO, what events do you regularly participate in (Promoter, City, Sanctioning Body?)
    ___________________________________________________________________
  9. Chief Trainers Name of The Gym/Club.______________________________________________
  10. Chief Trainers TRAINING Background In Boxing. (Use back if necessary)
  11. Please List for us 3 References
    1. _______________________________________________________
    2. _______________________________________________________
    3. _______________________________________________________

Please send this Form and your Gym/Club Listing Fee of $50 to: IAB Attn: GYM REGISTRATION
P.O. Box 1205, 9250 Cypress Street, Newcastle, CA, 95658, USA - (916) 663-2467 - FAX: (916) 663-4510
Registration Forms WITHOUT FEES will be Disposed of.

IF PAYING BY CREDIT CARD FEE IS $55.00 AND FAXING IN (916) 663-4510 - PRINT NEATLY!
CIRCLE OR CHECK ONE: _____VISA -OR- _____MASTERCARD


CC#: ___________ ___________ ___________

PHONE: (________) __________ _____________

AMOUNT PAYING
$55.00


CARD EXP. DATE_______/_______/_______

3 DIG SEC CD: _____ - _____ - _____

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