World MAC - Four Nations Register

Four Nations Challenge Entry Form

To enter offline click here and print this form

FOUR NATIONS CHALLENGE FORM

Full Name:

Date of Birth:

Martial Art:

Present Grade:

Telephone:

Mobile:

Email:

Website:

Address

House Number:

Street:

Town:

County:

Post Code:

Country:

If registered with the WorldMAC Alliance give ID Number

Enter the national team you represent

Name of Club:

Number of Officials:

Entry Fees are £25 for each individual category or for each member of a team

Amount

Code

Category

£25.00

Check a checkbox to add an extra category.

£25.00

Check a checkbox to select spectator tickets for Saturday.

£15.00 - Day

Saturday Spectator - Daytime

£15.00 - Night

Saturday Spectator - Nightime

Check a checkbox to select spectator tickets for Sunday.

£15.00 - Day

Sunday Spectator - Daytime

£15.00 - Night

Sunday Spectator - Nightime

Total Price: