Sitzler Indigenous Carnival Nomination

2022 Sitzler Indigenous Carnival Team Nomination Form

FRIDAY 20th – SUNDAY 22nd MAY 2021, CDU STADIUM*

- Entries close Friday 29th April 2022. Late entries will not be accepted.
- Full payment must be paid at time of nomination.
- *Competition dates are subject to change to Saturday 21st – Sunday 23rd May 2021.

If you have any further queries, please contact development@netballnt.org.au or call 08 8945 1733.

PAYMENT DETAILS

Please complete a Bank Transfer with your team name and include your reference number below:

Team Nomination Fees: $300

BSB: 633 000
Account No: 166 614 495
Account Name: Netball NT

If you have any further queries please contact development@netballnt.org.au or call 08 8945 1733.

Contact Name

First

Last

Contact Address

Address

City

State

Post Code

Contact Phone Number

Contact Email Address

Payment Reference

Please list payment reference for payment of fees.

Team 1

Team Name

Contact Name

Phone Number

Email Address

Team 1 Category

Team 2

Team Name

Contact Name

Phone Number

Email Address

Team 2 Category

Team 3

Team Name

Contact Name

Phone Number

Email Address

Team 3 Category

Team 4

Team Name

Contact Name

Phone Number

Email Address

Team 4 Category

Team 5

Team Name

Contact Name

Phone Number

Email Address

Team 5 Category

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Sitzler Indigenous Carnival Nomination