State Championships

State Championships

For any enquiries, please contact info@sportsimagery.com.au
Child's Details

Please make sure these details are correct as this is how they will appear on the trading card.
Child's Name*

First NameLast Name
Age*
Team*
*If other, please specify
Division*
Nickname*
Playing Number*
Position*
(Point Guard, Forward etc.)
Additional Information*
Achievements, Stats, Biography (50 word limit)
Parent's Details
Name*

First NameLast Name
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Purchase
My Products
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Card Pack 1 (One child - 5 cards + 1 photo)$30.00AUD

Card Pack 2 (One child - 10 cards + 2 photos)$40.00AUD

Total $0.00AUD
BankTransfer

Payment can also be made via direct bank deposit. Name: Michael Farnell. BSB: 066-166 ACN: 1000 6296
I give permission for my child's photos to be used by Sports Imagery Australia and Basketball WA for social media promotion (optional)
Should be Empty:

Child's Details