Committee Affiliation

Committees & Event Organisers

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Applicants Name

First

Last

Applicants Email

Applicants Phone Number

Committee Postal Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your Presidents Name

Your Presidents Phone Number

Your Presidents Email

Your Secretaries Name

Your Secretaries Phone Number

Your Secretaries Email

Your Treasurer's Name

Your Treasurer's Phone Number

Your Treasurer's Email

Person elected

To act as the committee delegate.

ASCA Permission to promote your event

Does your committee give ASCA permissions?

We agree to abide by the ASCA Rules and Regulations and hereby apply for application

Total Amount Paid & Date

Affiliation Charges

$600.00 ($200 Affiliation Fee + $400 Once Off Administration Fee) *

BSB: 014 535

Account: 224 328 232

*Subject to change

Comment or Message

Please enable JavaScript in your browser to complete this form.

Applicants Name

First

Last

Applicants Email

Applicants Phone Number

Committee Postal Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your Presidents Name

Your Presidents Phone Number

Your Presidents Email

Your Secretaries Name

Your Secretaries Phone Number

Your Secretaries Email

Your Treasurer's Name

Your Treasurer's Phone Number

Your Treasurer's Email

Person elected

To act as the committee delegate.

ASCA Permission to promote your event

Does your committee give ASCA permissions?

We agree to abide by the ASCA Rules and Regulations and hereby apply for application

Total Amount Paid & Date

Affiliation Charges

$600.00 ($200 Affiliation Fee + $400 Once Off Administration Fee) *

BSB: 014 535

Account: 224 328 232

*Subject to change

Comment or Message

Committees & Event Organisers

Affiliation Charges

Affiliation Charges

Committees

Members

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