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Association Contact Details

Association Office Details

"*" indicates required fields

Association Office Details

Association Name*

Name of First Point of contact for FNSW email correspondence*

First Last

Email Addresses for First Point of contact for FNSW email correspondence*

Name of Second Point of contact for FNSW email correspondence (if more than one)

First Last

Email Addresses for Second Point of contact for FNSW email correspondence (if more than one)

Office Email*

Office Phone*

Postal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Delivery Address (If different to above)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

President Contact Information

President Name*

First Last

President E-mail*

President Phone / Mobile*

Administrator Contact Information

Administrator Name*

First Last

Administrator E-mail*

Administrator Phone / Mobile*

Technical Director Information

Technical Director Name*

First Last

Technical Director E-mail*

Technical Director Phone / Mobile*

Other Committee Members Information

Vice President(s) Name

First Last

Vice President(s) E-mail

Vice President(s) Phone / Mobile

Vice President(s) Name

First Last

If more than one

Vice President(s) E-mail

If more than one

Vice President(s) Phone / Mobile

If more than one

Treasurer Name

First Last

Treasurer E-mail

Treasurer Phone / Mobile

Registrar Name

First Last

Registrar E-mail

Registrar Phone / Mobile

Secretary Name

First Last

Secretary E-mail

Secretary Phone / Mobile

Media Enquiries

First Last

Media Enquiries E-mail

Media Enquiries Phone / Mobile

Listing Information

(For Football NSW Website)

Association Name*

Main Association Contact*

First Last

Association Contact Number*

Association Email Address*

Association Website*