2017 Westfield FFA Cup Nomination Form

Venue Details
Home Venue Name
If differing from Hawker Football Centre
Home Venue Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
As per the Memorandum sent to clubs, Capital Football will subsidise the Club registration fee for the 2018 FFA Cup.

Invoices will be organised following submission of this nomination form.
I acknowledge and agree that:

a) The information I have provided is accurate;

b) I am authorised to submit this form on behalf of the club; and

c) by signing this form, the Club shall participate in the 2018 FFA Cup and shall be bound by the FFA Cup Competition Regulations as promulgated by FFA from time to time.
Signature *

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Name *

First Name Last Name
Should be Empty:

2018 FFA Cup Nomination Form