POWERHOUSE XV

Sponsorship, Corporate Tables & Tickets Ph: 0461 489 857

NOMINATE FIGHTERS NOW

Please take a moment to fill out all parts of the form, and leave additional comments in the larger box below if needed.

First Name

Email

Gym

Weight

Last Name

Phone

Age

Fight Record

Additional comments

Thanks for nominating!

Bernadine Vergara, trading as Powerhouse Fight Series Pty Ltd.
ABN 45 665 839 958

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