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BOXING
TAS INCORPORATED CLUB/ Please read both sides of this form carefully. Complete all
sections, and submit with the fee to Boxing |
Reg No: Receipt: Date reg: |
Any clubs, gyms or organisations which are
located in
Boxers cannot represent a club/gym or other
organisation unless affiliated with Boxing
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SECTION 1 - DETAILS OF CLUB/ |
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Name of club/gym |
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Actual address |
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Postal address (if different) |
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Fax number |
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Phone number |
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Mobile Phone No:
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Email address |
http:// |
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Internet website address |
http:// |
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Association Incorporation Number (if applicable) |
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Australian Business
Number ( |
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SECTION 2 - BOXING COACHING |
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Does your club/gym/organisation conduct boxing classes? |
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Names of coaches conducting boxing classes: |
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Are your boxing classes available to the public? |
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List
club/gym on our website directory? (Yes/No) |
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Boxing training days and times |
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SECTION 3 - BOXING TAS NEWSLETTER |
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Request for a copy of Boxing Tasmania Newsletter |
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SECTION 4 -
DECLARATION |
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Name of person making this application |
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Position in organisation |
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Phone |
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“I certify that I have the authority to
make this application on behalf of the above club/gym and I declare that all
boxing training and boxing sparring conducted at the club/gym will comply with the policies
of Boxing We hereby declare that, if affiliated as a
club/gym we agree to be bound by the present and future constitution and
bylaws of Boxing |
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Signature |
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Date |
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