Name
*
First Name
Last Name
Phone Number
*
Please enter a valid mobile number.
Email
*
jordan@gameball.com
I am a
*
Please Select
Administrator
Coach
Parent
Player
Trainer
Other
Where do you plan to use your equipment?
*
Please Select
Home
School
Facility
Club
What is the school/club/facility name?
State/Territory
*
Please Select
NSW
QLD
VIC
WA
SA
TAS
NT
ACT
How many players will be training on your Dr. Dish at the same time?
1
2-3
4+
How important is it for you to be able to track stats over time?
Very Important
Nice to Have
Not Important
What products are you interested in?
*
Dr Dish Machines
Basketballs
Ball Racks
School/Facility/Home
*
E.g. Sydney High School
Comments/Questions
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