Annual Club Registration form

Club Registration form

Clubs must register for affiliation with Masters Swimming NSW each calendar year.
This form is due to be submitted prior to the beginning the calendar year.

Club Details

Additional Details

Affiliation Fee

Confirmation

Submit

Club Details
club name*
incorporation*
Is the club an Incorporated Association with current registration?
- Yes
- No
email address*
club postal address*

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The following details will be displayed on the MSNSW website for the information of members, and prospective members
Contact Details
contact name*
First Last
mobile phone
home phone
work phone
Social Media
club website URL
facebook URL
Main Swim Venue
Main Swim Venue
venue name*
address*
session times*
Alternate Swim Venue
Alternate Swim Venue
venue name
address
session times

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Affiliation fee
number of members*
The annual affiliation fee is based on the number of registered members
- $50 for less than 25
- $70 for 25 to 49
- $90 for 50 or more
discount*
A prompt payment discount is offered for payments received before December 31
Do you wish to apply this discount?
- Yes
- No
Payment Details
total fee payable
payment method*
- Cheque
- Direct Credit
payment date*
Enter the date that payment has been made, or is expected to be made
Date Format: DD slash MM slash YYYY
Cheque to be made payable to:
"Masters Swimming NSW"
Direct credit to:
BSB 012129 A/C 197994001

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- use the 'Previous' button below to go back and edit now, or
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Phone
This field is for validation purposes and should be left unchanged.

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Club Registration form

Club Details

Additional Details

Affiliation Fee

Confirmation

Submit

Club Details

Contact Details

Social Media

Main Swim Venue

Main Swim Venue

Alternate Swim Venue

Alternate Swim Venue

Affiliation fee

Payment Details

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