Registration

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HDNA Affiliation Form 2023

Annual Membership: 1st January 2023 - 31 December 2023

Netball Club/Team Name*

Netball club or independent team name

Club President/Team Primary Contact Name*

Full Name

Email Address*

Email Address - club or team primary contact

Mobile Phone*

Phone - club or team primary contact

Treasurer (clubs only)

Name

Email Address

Phone

Secretary (clubs only)

Name

Email Address

Phone

Colours/Design of Uniform*

Describe club/team colours and design

Approved Uniform Items*

Please also submit images of your uniform items to info@hdna.net.au.

List items included in your approved club/team uniform

We accept that the rules and regulations of HDNA shall extend to affiliated clubs and teams. We accept the right of HDNA to refuse any application without any given reason.

If accepted to the membership of HDNA we pledge to uphold and keep in sincere faith the objectives and aims of HDNA and do all within our power to further the Association as set down in the constitution and by-laws.

We accept that the affiliation fee is payable to HDNA annually.

We apply for membership to Hinterland District Netball Association Inc. (HDNA) for the calendar year 2023.

Authorisation Signature

Full Membership

$55.00

Fully-affiliated member clubs must have 3 or more teams in an HDNA competition. They are encouraged to attend all HDNA delegates meetings and are entitled to one vote.

Social Membership

$16.50

Social member clubs/independent teams are welcome to attend HDNA delegates meetings but are not entitled to vote.

HDNA

Affiliation Membership*

Pay by Credit Card

Bank Transfer

Enter Card Details*

we do not store any information you provide

Bank Transfer

National Australia Bank
BSB: 084 899
Account no: 641413243
Account name: Hinterland District Netball Association Inc
Please ensure you complete the customer reference details with the Club or Team name

HDNA Affiliation Form 2023

Annual Membership: 1st January 2023 - 31 December 2023

Authorisation Signature

Full Membership

Social Membership

Bank Transfer

Your form has been submitted

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