Club Information

Club Information

This form will provide details of your Club for the District Directory 2010-2011.
Select your club:

Please provide the following information to include in the directory:
Email:
Meeting day:
Meeting time:
Meeting venue:
Postal address:

Incoming President’s details:
President’s name:
Partner’s first name:
Home address:
Suburb:
Postcode:
Business Phone:
 07
Private Phone:
 07
Mobile phone:
Email:
Fax:

Incoming Secretary’s details:
Secretary’s name:
Partner's first name:
Home address:
Suburb:
Postcode:
Business Phone:
 07
Private Phone:
 07
Mobile phone:
Email:
Fax:

Please provide your personal contact details in case we need to question this information:
Name:
Mobile phone:
E-mail:
Comments:

 

 

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