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2024 Membership Form (Digital Wallet)
"
*
" indicates required fields
Name
*
First
Last
Email
*
Phone
*
Membership Type
Select your Membership Type
Note: Netball VNA paid separately, football registration for players is paid with club membership ALL players MUST register with the league via PlayHQ for Footballers and Netball Connect for Netballers.
Single Membership $80
Single Football Membership & Registration $200
Single Gold Membership $180
Single Gold Members/Registration $280
Family Membership $150
Family Membership Including Senior Footballer $250
Gold Family Membership $250
Gold Family Membership Including Senior Footballer $350
Junior Football Membership & Registration $40
Junior Netball Membership $30
Player Name
*
Please add the name of a family member playing for the club
First
Last
Team
*
Senior Football
Reserve Football
U18 Football
U14.5 Football
A Grade Netball
B Grade Netball
C Grade Netball
D Grade Netball
U17 Netball
U15 Netball
U13 Netball
Family Members
*
Do you need to add another player to your family membership?
Yes
No
Second Player Name
*
Please add the name of a second family member playing for the club
First
Last
Team
*
Please select the team your second family member is playing with.
Senior Football
Reserve Football
U18 Football
U14.5 Football
A Grade Netball
B Grade Netball
C Grade Netball
D Grade Netball
U17 Netball
U15 Netball
U13 Netball
Third family member
*
Do you need to add a third player to your family membership?
Yes
No
Third Player Name
*
Please add the name of a third family member playing for the club
First
Last
Team
*
Please select the team your third family member is playing with.
Senior Football
Reserve Football
U18 Football
U14.5 Football
A Grade Netball
B Grade Netball
C Grade Netball
D Grade Netball
U17 Netball
U15 Netball
U13 Netball
Total
Payment options
*
How would you like to pay for your membership?
Credit Card
Direct Deposit
Credit Card
*
Cardholder Name
Card Details
Direct deposit
Otway District Football Netball Club Inc. Westpac – Colac Branch BSB: 033 217 Account: 710821
Phone
This field is for validation purposes and should be left unchanged.
Our Club
Past Player Dinner
About Us
History
Life Members
Club Handbook
Club Constitution
Fixtures & Events
News
Membership
Merchandise
Sponsors
Support our Sponsors
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