Level 1-3 Badge Order Form

Lower Level Testing Badge Order Form - This form can now be used to order badges across multiple gymsports:

WAG 1-2	TRP 1-4
RG 1-2	ACR 1-3

Club *
Club ID *
Postal Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact Name *
Contact E-Mail *
Contact Phone *
Assessor Information
Assessor Name *
Tech ID # *
E-mail *
Contact Ph: *
Athlete Information
WAG 1-2 RG 1-2 ACR 1-3 TRP 1-4
Please enter Athlete Information
Payment Information
Prices:

Cost Per Badge

$7.50
Number of Badges Ordered *
Total Cost ($)**
**Note: All amounts are inclusive of GST.
Methods of Payment:

***Please Note: Badges will not be sent until payment is received***

EFT:

Gymnastics Victoria Inc.

BSB: 063 103 Account: 008 003 11

Ref: Club Name or ID#

Cheque:

Made payable to Gymnastics Victoria

Mail to:

Gymnastics Victoria

PO Box 350

Prahran, VIC 3181

Credit Card Payments:

MasterCard and VISA only, payments are taken via PayPal.

After hitting submit, if card payment selected you will be redirected to PayPal where you may pay via MasterCard or VISA or via a PayPal account.

If you have queries, contact GV on 03 9005 4700
Method of Payment *

EFT Cheque Card
Card factor

Card calc
Pay by Card

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AUD LAT Lower Level Badges

Terms & Conditions
1. Payment must be made in full for badges to be received.

2. Forms must show full details of each gymnast to obtain badges.

3. Gymnasts must be registered with Gymnastics Victoria and Gymnastics Australia in order to obtain a badge.

4. Please select appropriate discipline and level for required badges.

5. Please use a seperate line for each discipline.

6. Prices are subject to change.
Please ensure all Athlete, Club & Assessor information is correct before clicking submit.

If you have any queries, please contact Claire Firth:

PH: 03 9005 4700 E: info@gymnasticsvictoria.org.au
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