Croatian World Games 2010 "Team Australia" Registration Form

CROATIAN WORLD GAMES 2010 "TEAM AUSTRALIA"

Name:
Address:
Telephone:
Fax:
Email address:
Are you of Croatian heritage and comply with the age requirements appropriate to your sporting discipline?:	Yes No
If selected, available to travel to Croatian World Games, Zadar July 2010	Yes No
Please state your a) date of birth, b) gender, c) sporting discipline for which you are registering, and d) sports background
Registration Costs:	$50.00 per player. (Registration covers "Team Australia" organising costs)
	If paying by cheque please make payable to: Croatian Community Council World Games (write on back of cheques or attach note "a/c CWGA 2010") Send cheques to: Croatian World Games (Australia) C/- Croatian Community Council of SA Inc. 68a Second Street Brompton SA 5007 Credit cards welcome (Visa, Mastercard, Bankcard) Call 0401 158 609 to arrange payment.
Donation:	(Towards "Team Australia" organising costs).
Team Australia Sponsorship:	Major Sponsor Supporting Sponsor (Please contact Team Australia National Sponsorship Coordinator, Stipe Vidovic on 0402 204 959 or steven@blicmanagement.com)

Submit this Email Registration.