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NATI0NAL RECORD CERTIFICATE
*Please make sure you broke a UPA National Record before you order a record certificate. The UPA only recognizes Full Power and Bench Only National records. You can only break the record of the division you entered at a UPA sanction meet. Thank you.
First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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Your age the date of the Record
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Date of Record
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+
Name of meet where Record was done at.
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AD Record (Drug Tested)
AD Division
Raw, Raw Elite, or Equipped?
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Raw
Raw Elite
Equipped
97
105
114
123
132
148
165
181
198
220
242
275
308
SHW
Weight Class
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Squat lbs.
Bench Press lbs.
Deadlift lbs.
Total lbs.
Mens Open Full-Power
Mens Teen Full-Power
Mens Junior Full-Power
Mens Submasters Full-Power
Mens Masters Full-Power
Womens Open Full-Power
Womens Teen Full-Power
Womens Junior Full-Power
Womens Submasters Full-Power
Womens Masters Full-Power
Mens Open Bench-Only
Mens Teen Bench-Only
Mens Junior Bench-Only
Mens Submasters Bench-Only
Mens Masters Bench-Only
Womens Open Bench-Only
Womens Teen Bench-Only
Womens Junior Bench-Only
Womens Submasters Bench-Only
Womens Masters Bench-Only
Mens Open Ironman
Mens Teen Ironman
Mens Junior Ironman
Mens Submasters Ironman
Mens Masters Ironman
Womens Open Ironman
Womens Teen Ironman
Womens Junior Ironman
Womens Submasters Ironman
Womens Masters Ironman
Mens Open Deadlift-Only
Mens Teen Deadlift-Only
Mens Junior Deadlift-Only
Mens Submasters Deadlift-Only
Mens Masters Deadlift-Only
Womens Open Deadlift-Only
Womens Teen Deadlift-Only
Womens Junior Deadlift-Only
Womens Submasters Deadlift-Only
Womens Masters Deadlift-Only
1st Record Certificate Division
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Event Pricing. This is only for copies of the same record.
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$10.00 1 Record Certificate
$20.00 2 Record Certificates
$30.00 3 Record Certificates
$40.00 4 Record Certificates
Shipping & PayPal Fee
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$2.50
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