Chadstone Hockey Club

CONTACT CHADSTONE HOCKEY CLUB

Confirmation of Player Details - 2009 registration

Note: Fields marked with an * must be filled in

General Details

* Surname:

* First Name:

* Date of Birth::

* Address:

* Suburb:

* State:

* Post Code

Home Phone:

Work Phone:

Mobile:

Fax:

* Preferred Email:

Occupation:

Company Name:

What is the number on the back of your shirt?

If you are a student, what are you studying?

Uniform Needs

Ladies

Shirt ($40):	(Please specifiy Size required)
Skirt($20):	(Please specifiy Size required)
Socks($8):	(Please specifiy Size required)

Mens

Shirt ($40):	(Please specifiy Size required)
Shorts($20):	(Please specifiy Size required)
Socks($8):	(Please specifiy Size required)

Subscription

	Men ($425):
	Student / Unemployed / 1st Year ($325)
	Women ($325)

Intended Payment Method - See details accross page

	Direct Deposit Bank: National Australia Bank - NAB BSB: 083-187 Account: 61-870-0404 Please put your surname in the notes field of the transaction
	Cheque Please make all cheques payable to Chadstone Hockey Club and give to your team manager
	Cash Yes we still accept cash payments, please give to your team mangager
	Credit Card You will be emailed with the exact instructions on how to pay with your credit card either online or in person

As a member of Chadstone Hockey Club it is required that from time to time each member assists the club in various areas. Please indicate below your preferences, from 1 - 7 with 1 being most preferred and 7 least.

Coaching	Social Committee	Umpiring
Fundraising	BBQ's	Merchandise
Team Manager

Extra comments :

Payment Options

There are several ways for you to pay your subscriptions and uniforms:

Direct Deposit
Cheque
Cash
Credit Card

Please Note: Uniforms are required to be paid for at time of request and fees by round 4 (unless arangements have been made with the club). If you pay your fees before round 4 you will get a special Member Card that will get you FREE entry to all Social Events valued at $45. This does not include Presentation Night.

Club Sponsors

HOME - RESULTS - NEWS - SOCIAL - GALLERY - SPONSORS - MERCHANDISE - CLUB - CONTACT - REGISTER AS A NEW PLAYER

Copywrite Chadstone Hockey Club 2007 - Designed & Maintained by Digital Elements