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Federation Boxing Association
 Call us at: 850-544-6202
Insert Headline
Insert text here.FEDERATION BOXING ASSOCIATION
PROMOTER LICENSE APPLICATION
SOLICITED LICENCIA DE PROMOTOR
FEE (CUOTA): USD $1000.00
  After January 31st/despues de enero 31: USD $1,500.00
Promoter License Application to the Federation Boxing Association may be given to promoters with good morals currently licensed with any legally constituted boxing authority within any country of the world. La solicitud para la licencia de promotor de la organizacion Mundial de Boxeo puede ser dada a cualquier promotor de moral que este
Authorizado por cualquier entidad boxistica legalmente constiuida en cualquier pals del mundo.

NAME:_____________________________________ __________________________________________
NOMBRE
COMPANY:___________________________________________________________________________
COMPANIA
BUSINESS ADDRESS:____________________________________________________________________
DIRECCION DE NEGOCIO
CITY:____________________________STATE_________________________ZIP CODE:______________________
CIUDADESTADOCODIGO POSTAL
PHONE:______________________________MOBILE PHONE:______________________________________
TELEFONOTELEFONO MOVIL
FAX:______________________________EMAIL:_________________________________________
FACSIMILCORREO ELECTRONICO

I hereby apply for Federation Boxing Association Promoter’s License. I agree to abide by the Constitution,
By-Laws and all amendments and regulations adopted by the Association. It is agreed, upon acceptance of this application, and as a further consideration herein that as a Promoter, I will remain in good standing and honor all provisions of the Constitution and By-Laws of the FEDERATION BOXING ASSOCIATION.
Solicito la Licencia de promotor de la Organizacion Mundial de Boxeo . Acuerdo regirme por la Consttucion, Estatutos y enmiendas y reglamentos adoptadas por la organizacion. Acuerdo, en bbase a La aceptacion de esta solicitud y en consideracion que como promotor mantendre una bbuena reputacion y honrare todas las provisiones de la Constitucion y Estatutod de la Organizacion Mundial de Boxeo.

SIGNATURE:____________________________________DATE:________________________
FIRMA FECHA
RECOMMENDED BY:______________________________________________________________
RECOMMENDADO POR
MASTER CARD OR VISA ONLY

NAME(AS IT APPEARS ON TCARD)___________________________SIGNATURE____________________________
NOMBRE(COMO APARECE EN LA TARJETA)
VI OR MC CC#___________________________________________EXP________________________________

FOR OFFICE USE ONLY/PARA USO INTERNO SOLAMENTE:
DATE RCVD/FECHA RCDO:_______________________
DATE LIC> SENT/FECHA ENVIO LIC:__________________




FEREDERATION Boxing Association
2138 S Atlanta St
Quincy Fl, 32351
Tele#:(850)544-6202
Email:federationboxingassociation@yahoo.com