PROMOTER REGISTRATION

ICB Promoter Membership Fee

£200

Full Name of Promoter*

Email*

Phone*

Please include area code

Address*

ICB Membership Year*

ICB memberships start January 1st and expire 31st December

Start Date of Membership

Image of Promoter*

I agree to abide by the Rules and Regulations of the ICB

CHAMPIONSHIP

BOXING

103 High St, London, EN8 7AN

Mon - Sat: 10am - 8pm

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