Would you like to purchase your Championship Belt?

Health & Fitness

If you are an existing WKA Champion and would like to purchase a belt and a certificate of authentication please complete the under listed form

[FrontPage Save Results Component]

Championship Belt Information Required

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Your Nationality
Work Phone
FAX
E-mail
URL

Discipline Win Results Fight Date Weight

Title Fought for:-
D.O.B -- dd/mm/yy

Opponents Name

Venue & Country Fight Held

Place & Country

Additional information

World Kickboxing Association (WKA)
James Court (Suites 1~4 ) 63 Gravelly Lane Erdington Birmingham B23 6LX England

Tel: +44 121 382 2995 Fax: +44 121 382 5688 Email: info@wka.co.uk web: www.wka.co.uk