WAIMA GRADING REGISTRATION

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Welcome

Welcome

Hi there, please fill out and submit this form to register for your grading.

1
Number of people grading
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2
Gradee name 1
First Name
Last Name
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3
The rank Gradee 1 is going for
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4
What is belt or singlet size
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5
Gradee name 2
First Name
Last Name
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6
The rank Gradee 2 is going for
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7
What is belt or singlet size
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8
Gradee name 3
First Name
Last Name
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9
The rank Gradee 3 is going for
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10
What is belt or singlet size
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11
Gradee name 4
First Name
Last Name
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12
The rank Gradee 4 is going for
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13
What is belt or singlet size
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14
Gradee name 5
First Name
Last Name
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15
The rank Gradee 5 is going for
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16
What is belt or singlet size
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17
Primary persons Mobile Number* This field is required
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18
Primary persons E-mail* This field is required
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19
You train at?* This field is required
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20
My Products* This field is required
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costAUD
FMA - YELLOW JNR (skipping rope)
$30.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - YELLOW SNR (arnis, arnis bag)
$85.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - ORANGE JNR (includes shinguards, gloves, mouthguard)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - ORANGE SNR (includes shinguards, gloves, mouthguard)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BLUE JNR
$50.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BLUE SNR (training dagger, padded sticks)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - GREEN JNR (arnis, arnis bag, MMA gloves)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - GREEN SNR (elbow pads, MMA gloves)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BROWN JNR (black gi, badges, sewing, padded sticks)
$300.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BROWN SNR (black gi, badges, sewing)
$250.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BLACK JNR (embroidery on belt, medallion, shodan booklet, event)
$300.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BLACK SNR (embroidery on belt, medallion, shodan booklet, event)
$300.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 1st Dan JNR (black canvas 14oz gi, embroidery on uniform and belt , event)
$300.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 1st Dan SNR (black canvas 14oz gi, embroidery on uniform and belt, stripe on belt)
$350.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 2nd Dan JNR (embroidery and stripes on belt, event)
$300.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 2nd Dan SNR (kanji and stripes on belt)
$350.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 3rd Dan SNR (black canvas 14oz gi, badges, embroidery and sewing, kanji and stripes on belt)
$350.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 4th Dan SNR (white canvas 14oz gi, kanji and stripes on belt) 2
$250.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - YELLOW
$50.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - ORANGE
$60.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BLUE
$70.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - GREEN
$80.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BROWN
$120.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BLACK
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - 2ND DEGREE
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - 3RD DEGREE
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - ADULT
$10.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - FAMILY
$20.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - ADDITIONAL FAMILY MEMBER
$5.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
Enter Coupon
Total: $0.00AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
2019
Expiration Year
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21
Tags
[object Object]
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