BANG MUAY THAI Affiliate Application
Name: *
Contact Phone Number: *
Email Address: *
Name Of Business: *
Full Address Of Business: *
Years In Business: *
How Many Students Do You Currently Have? *
How Many Years Training, Coaching? *
What Ranks, Awards Or Achievements Do You Have? *
What Are Your Reasons For Becoming An Affiliate? *
How Did You Hear About Becoming a BMT Affiliate?  *
Do You Have Resources To Invest In Your Business *
Upon reaching the approval stage of the process, a criminal background check will be performed. Please disclose any records that will be found & any context you feel is needed: *
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