Coach / Coordinator Details

HONORARIUM DECLARATION
Declaration*
I declare that any payments received from Contax Netball Club does not represent income from a business, enterprise or employment situation and is made for the pursuit of a recreational activity.
PERSONAL DETAILS
Name*
First Last
Email*
Phone*
Have you coached or been a coordinator for the club before?*
- Yes
- No
Have you changed your address since the last time you coached or been a coordinator?*
- Yes
- No
Address*
Street Address Suburb Post Code
Have you changed your bank account details since you last coached or been a coordinator?*
- Yes
- No
BANK DETAILS
Please ensure bank details are correct including the bank account name as any bank fees we are charged for rejected payments will be passed on to you.
Account name*

Name account is held in - not account type
BSB number*
Account Number*

HONORARIUM DECLARATION