WM Affiliation Form

WM Division Affiliation - 2024/2025

Club Registration/Affiliation Fee: £100
Club Name*
Club Address*

Street Address

Street Address Line 2

City/TownState / Province

Post Code
Club Contact (Name)*
Position/Role at Club*
Contact Number*
Contact Email*
Name of Designated Club Welfare Officer*
Club Instagram Account (optional)
Club Facebook Account (optional)
Please ensure you have paid your affiliation fee to the WEST MIDLANDS ABA.

West Midlands ABA
Lloyds Bank
Sort Code: 30-18-55
Account No: 02886575

The affiliation fee for each club is £100.00 for the 2024-2025 season.
Please download a copy of your application before you submit the form
Should be Empty: