Senior Domestic Competition
Team Nomination Form - Summer 2024/25
Team Name:
*
Singlet Colour:
*
Select a Competition:
*
Please Select
Men MONDAY A
Men MONDAY Vet A
Men MONDAY Vet B
Men MONDAY Vet C
Men TUESDAY B
Men TUESDAY C
Womens WEDNESDAY A
Womens WEDNESDAY B
Men THURSDAY A
Men THURSDAY B
Men THURSDAY C
Men THURSDAY D
Primary Contact Name:
*
First Name
Surname
Primary Contact Email:
*
example@example.com
Primary Contact Mobile Number:
*
Secondary Contact Name:
*
First Name
Surname
Secondary Contact Email:
*
example@example.com
Secondary Contact Mobile Number:
*
Team Nomination Fee
*
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Team Fee
Summer 2024/25 Team Registration Fee
$
75.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: