Club Membership, Under IFA Article 4 for Season 2017-18
Please complete no later than 31 July 2017
Name of Club *
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Legal Entity
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Affiliated by Divisional Association *
League in which Club will compete *
Club Secretary's Name *
Your answer
Club Secretary's Address and Post Code *
Your answer
Club Secretary's Contact Number *
Your answer
Club Secretary's Email Address *
Your answer
Club Kit Colours - First Choice *
Your answer
Club Kit Colours - Second Choice
Your answer
Club's Registered Ground *
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Playing Surface *
Club Chairperson's Name *
Your answer
Club Chairperson's Address and Post Code *
Your answer
Club Chairperson's Contact Number *
Your answer
Club Chairperson's Email Address *
Your answer
Club Disciplinary Officer's Name
Your answer
Club Disciplinary Officer's Address and Post Code
Your answer
Club Disciplinary Officer's Contact Number
Your answer
Club Disciplinary Officer's Email Address
Your answer
Club Child Welfare Officer's Name
Your answer
Club Child Welfare Officer's Address and Post Code
Your answer
Club Child Welfare Officer's Contact Number
Your answer
Club Child Welfare Officer's Email Address
Your answer
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