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CLUB REGISTRATION FORM

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Fill in the details and register your club today - * Required field
Name of Club
Contact Representative
*
*
Email Address
Mobile Number
*
Landline
Address
Suburb
State
Postcode

ADDITIONAL INFORMATION
NUMBER OF TEAMS
Senior Teams 
Junior Teams
AFFLILIATED ASSOCIATIONS
NUMBER OF MEMBERS / SUPPORTERS
Legue / Competition
Active Memberships
Supporters (non members)

HOMETOWN HERO
If you believe that someone in your Club deserves recognition for services rendered please provide details as to the person and the work they have performed.
Name
Years of Service
Position/s'
Reason For Nomination

MfaaMember of the Mortgage & Finance Association of Australia