CONTACT NOTIFICATION

To assist us to keep in touch with you and your Association, please complete the bottom portion of this page and reply to it by return post (even if you have already advised changes of officers)

We are also looking to sending Association Secretaries and other authorised personnel within your Association copies of minutes and other publications by email.  We ask that you provide at least 2 email addresses for this purpose.  If you do not have any email address, then please indicate on this form.

Important:  The webpage information will be used to advertise your association to persons on the internet looking to join – please ensure contact details are kept up to date.

Thank you

Paula Masoe

General Secretary

Date:           ____________

Association:

Postal Address:

President: ______________________________________________________

                                         Name                                                         Address

______________________________________________________________ 

      Landline          Mobile Phone             Fax                                               Email                       

Vice President:__________________________________________________

                                         Name                                                         Address

______________________________________________________________

     Landline          Mobile Phone             Fax                                               Email                       

Secretary: _____________________________________________________

                                         Name                                                         Address

______________________________________________________________

     Landline          Mobile Phone             Fax                                               Email                       

Badge Controller: _______________________________________________

                                                      Name                                            Address

______________________________________________________________

     Landline          Mobile Phone             Fax                                               Email                       

Please advise email address(s) for notices

(1) __________________________________________________________

(2) __________________________________________________________

Our Association: ___________________________________ does/does not have an email address

Note:  this information will not be published – this is for NZDC use only.

Webpage Information:

Playing Venue:   _______________________________________________

                                     Address

                           _______________________________________________

                                    Contact Phone           Fax                       Email

Contact Person:    _______________________________________________

Playing Night:    (1) ___________________        (i.e. day)

Competition:       ____________________________(type of competition)

Playing Night:     (2)___________________        (i.e. day)

Competition:       ____________________________(type of competition)

Playing Night:     (4)___________________        (i.e. day)

Competition:       ____________________________(type of competition)

Playing Night:     (5)___________________        (i.e. day)

Competition:       ____________________________(type of competition)