Welcome to 2018/19 Membership Application

1. CONTACT INFORMATION

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* 1. MEMBERSHIP CATEGORY

A. Full Member $250.00 incl GST
Voting Rights. Available to all State Sporting Organisations within South Australia who are responsible for the policies and regulations governing the conduct of an individual sporting discipline.

B. Associate Member $150.00 incl GST
Available to sporting industry organisations which are not recognised as the state body and commercial organisations involved in/ associated with the sports industry.

C. Industry Member $250.00 incl GST
Available to commercial organisations involved in/ associated with sport or the sporting industry.

D. Information & Services $115.00 incl GST
Available to any sporting club or entity and shall be entitled to all information provided to all Full and Associate Members.

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* 2. MEMBER CONTACT DETAILS

Organisation Name

Office Address

Postal Address

Phone

Website

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* 3. SOCIAL MEDIA HANDLES

YouTube

Facebook

Instagram

Twitter

Snapchat

Tumblr

Other

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* 4. ARE YOU THE STATE SPORTING ORGANISATION?

Yes

If No, please advise the State Sporting Organisation

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* 5.
KEY PERSONNEL

The Sport SA Contact Person will be the first port of call for all membership correspondence, which includes receiving the monthly E Newsletter, "Sport Speaks" via Mail Chimp.

Sport SA Contact Person's Name

Position

Chair/ President's Name

Position

CEO/ EO/ GM's Name

Position

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* 6. SPORT-E NEWSLETTER SUBSCRIPTION
Would you like the above personnel subscribed to receive the monthly E-Newsletter, "Sport Speaks"? These people have the option to unsubscribe at any time. Please select all that apply.

Chair/ President's Email

CEO/ EO/ GM's Email

Are there any other emails you would like subscribed to Sport Speaks?

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* 7. AUTHORISED SIGNATORIES

In applying for membership of South Australia Sports Federation Inc. - Sport SA we agree to be bound by the terms and conditions as outlined in the Constitution.

Authorised Officer

Title

Date

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* 1. MEMBERSHIP CATEGORY

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* 2. MEMBER CONTACT DETAILS

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* 3. SOCIAL MEDIA HANDLES

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* 4. ARE YOU THE STATE SPORTING ORGANISATION?

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* 5. KEY PERSONNEL The Sport SA Contact Person will be the first port of call for all membership correspondence, which includes receiving the monthly E Newsletter, "Sport Speaks" via Mail Chimp.

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* 6. SPORT-E NEWSLETTER SUBSCRIPTIONWould you like the above personnel subscribed to receive the monthly E-Newsletter, "Sport Speaks"? These people have the option to unsubscribe at any time. Please select all that apply.

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* 7. AUTHORISED SIGNATORIES In applying for membership of South Australia Sports Federation Inc. - Sport SA we agree to be bound by the terms and conditions as outlined in the Constitution.

* 5.
KEY PERSONNEL

The Sport SA Contact Person will be the first port of call for all membership correspondence, which includes receiving the monthly E Newsletter, "Sport Speaks" via Mail Chimp.

* 6. SPORT-E NEWSLETTER SUBSCRIPTION
Would you like the above personnel subscribed to receive the monthly E-Newsletter, "Sport Speaks"? These people have the option to unsubscribe at any time. Please select all that apply.

* 7. AUTHORISED SIGNATORIES

In applying for membership of South Australia Sports Federation Inc. - Sport SA we agree to be bound by the terms and conditions as outlined in the Constitution.