Team Nomination

Team Details
Previous Experience

Contact Details
Primary Contact Person
Contact numbers
(Please provide at least one contact number)

Seconday Contact Person
Contact numbers

Payment Details
$990.00
$50.00 (if fees are paid in full by 6pm Friday prior to start of the season)
Please note, a minimum payment of $400 must accompany your team nomination. Balance of fees due by the 3rd week of fixtures.
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