ISPA Membership - Team Information
This form should be completed by the team/club/national association representative.
Membership will be confirmed after details and payments have been verified.
For questions email membership@segpolo.org
Team Information
Team Name
Your answer
Name of Club this team is affiliated with, if any
Your answer
Name of National Association this team is affiliated with, if any
Your answer
Hometown
City where the team is based
Your answer
Country
Country where the team is based
Your answer
Team Website
Enter the Team Website, if any
Your answer
Team Facebook Page
Enter the Team Facebook Page, if any
Your answer
Contact Details
Team Representative Name
Primary contact for the team
Your answer
Team Representative Email Address
Required to contact the team representative
Your answer
Team Representative Phone
Optional and in case of no email, please include country code
Your answer
Alternative Team Representative Name
In case the Team Representative is not contactable or does not respond
Your answer
Alternative Team Representative Email Address
Required to contact the alternative team representative
Your answer
Alternative Team Representative Phone
Optional and in case of no email, please include country code
Your answer
Comments
Add any comments or questions
Your answer
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