Please complete this form online as completely as possible, remember to send payment to : -

Pay online: Sort Code 56-00-49 Account 32026692 – Please put your Club name as the reference

By post to: - Peter Hodge, Devon Hockey Association 8 Orchard House, Middle Warberry Road, Torquay Devon TQ1 1RS
Cheques made payable to Devon Hockey Association      

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Please ensure that all County fees are paid by 31st October 2023

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Email *
Name of Club *
Number of Men Senior teams *
Please enter the number of  Senior Men's teams
Number of Ladies Senior teams *
Please enter the number of  Senior Ladies teams
Senior Payment to Send (@£20 a team)
Please select the applicable check box as per the total amount of senior teams your club has, if you have more than 10 teams, please select 10 and add the additional amounts to the "total" response
1 team = £20
2 teams = £40
3 teams = £60
4 teams = £80
5 teams = £100
6 teams = £120
7 teams = £140
8 teams = £160
9 teams = £180
10 teams = £200
DHA Affiliation £20
Junior Section *
A Junior Section shall be defined as a club that has one or more junior teams.  There is a one off payment of £5 per season.
Junior Section Affiliation
Total per Section= £5
Junior Section
Total to Pay *
Enter total amount payable, without a £ sign.
Form Completed by: *
Date: *
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