Launceston Touch Association Inc

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					                                  Launceston Touch Association Inc
                                  PO Box 7674, Launceston, Tas 7250   ABN No 9170 1870 240

                                  Phone      :        (03) 6336 6833
                                  E-Mail     :         manager@launcestontouch.asn.au
                                  Website    :         www.launcestontouch.asn.au

                   2009/20010
   Launceston Touch Association Nomination Form
                                                                             th
   Important Note: Nominations close Friday 11 September
                                             (1 form PER team)

Team Name: ________________________________________

Club Name:            (if applicable)   _________________________________

       New Team                                        Previously Reg’d Team
                                                 (please tick)

 Competition:                            Mens                    Womens                 Mixed
    (please circle)


Division Played 2008/09 ___________________________
Season Fees: $1,700
   1) $1,700 INCLUDES $100 Nomination Fee.
   2) If the team registers Team Fees reduced
   3) Team Fees reduced to $1,600 (including nom. fee) if paid by Thursday 8th November
   4) Team Fees further reduced by $50 per referee that referees in the season, to a maximum of 2
      referees. Thus fees for 1 referee and early payment would be $1,550 and for 2 referees $1,500.

Team Members:
For administration purposes, please provide names of players in your team (in any order) and
the team Coach (may be used for rostering purposes).

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  COACH:

				
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Description: Launceston Touch Association Inc