Table Tennis NSW Inc
2017 Registration Form & Tax Invoice
(This form is to be used for New Registrations and Updating Current Registration Details)
SECTION A: PLAYERS DETAILS
Items shown in BOLD are mandatory items for registration. Items underlined are highly recommended
______________________
Family Name:
Preferred Name:
_________________________
Gender:
Male / Female
Given Names:
Date of Birth:
______________________
_______________
TTNSW Number: _________ Affiliated Club/Association: ___________________________________
Postal Address:
___________________________________________________________________
City/Town:
_____________________________________
Phone (H)
Email:
____________
(W)
____________
Postcode:
(Mob)
___________
___________
__________________________________________________________
If an email address is provided correspondence will be forwarded by e-mail unless otherwise indicated.
SECTION B: DISABILITY STATEMENT: (if applicable)
Do you have a disability?
Yes / No
Class:
Description:
SECTION C: REGISTRATION LEVEL
(circle correct category or cross out incorrect categories)
1
2
3
NATIONAL
COMPETITION
SOCIAL
$80.00
$60.00
$10.00
AMOUNT PAID: $ _________
Note: A $20 discount on Competition Level fees applies to Juniors, Pensioners and Officials.
See the definitions on the next page.
I agree to abide by the Constitution and By-Laws of Table Tennis NSW Inc and the rules governing the Code
of Conduct for the Association. Please check website www.ttnsw.org.au
Signature of applicant: __________________________
Date: _________________________
I DO / DO NOT wish to be included on the TTNSW mailing list.
Postal:
Office:
PO Box 6952 Silverwater NSW 2128
Quad 1, Level 2, 8 Parkview Drive,
Sydney Olympic Park, NSW 2127
Phone:
Fax:
E-mail:
Website:
ABN:
02 8736 1266
02 8736 1267
[email protected]
www.ttnsw.org.au
73 959 528 443
Persons registered at Levels 1 or 2 will be placed on the Mailing List to receive all communication from the TTNSW office,
which will include Tournament Entry Forms. If you do not wish to receive mailings, please indicate below by crossing out
the appropriate option
REGISTRATION LEVEL DETAILS
National Level
Who
Benefits
$80.00
Any person who resides within NSW and plays or officiates at National or
International Level events.
Access to coaching and umpiring courses, National and International
Tournaments and discounted equipment.
Competition Level
Who
Benefits
$60.00
Any person who resides within NSW and competes in Tournaments, City vs
Country, Country Championships, coaching sessions, State Pennants, Quinlan
Shield and local Teams Pennants.
Persons registered at this level have access to Coaching and Umpiring Courses
when available as well as being able to participate in any TTNSW Open or
Closed Tournament as well as participating in Open Tournaments from other
associations.
Social Level
$10.00
Who:
Metropolitan Sydney
Any person who only plays in their local Teams Pennant and / or Association's
Closed Championships, gets coached or plays casually. This must be restricted
to one club / venue within 5Km or under such other conditions as determined by
the TTNSW Council from time to time.
e.g. If you only play at the Austral-Korean Association, then you can register as Social. If you play at AKT and
you play in Tournaments organised by TTNSW or other affiliated associations, then you must be registered at
the Competition Level. If you play the St George and Sutherland Shire Teams Pennant, then you must be
registered at Competition Level.
Country NSW
Benefits
Any person who only plays in their local competitions or against other country
associations within a 300Km radius or under such other conditions as
determined by the TTNSW Council from time to time.
Persons registered at this level may only participate only in their local Teams
Pennant or Association's Closed Championships.
Please make your cheque/money order payable to TTNSW or direct
deposit into the account below:
BANK
BSB
ACCOUNT NUMBER
ACCOUNT NAME
Reference
COMMONWEALTH BANK, ULLADULLA NSW
062 646
1003 4653
TABLE TENNIS NSW
"TTNSW Number" and "Rego".
Definitions
A Junior is any person who is under 18 at 31 December 2017.
A Pensioner is any person who receives a Commonwealth Government Pension payment.
An Official is any person who is an administrator that does not play.