NT Clubs - 2018 Ride in2 BMX National Series Event Application - Closing Date: 14/06/2018
Hey BMX NT Clubs

So we can take advantage of the promotion and momentum from your National Series Event, BMXA will be providing support for you to hold a National Series Ride in2 BMX event on the weekends listed below.

For these weekends, BMXA will provide:
* Social media promotion
* FB banners that you can use to promote your event
* BMXA website promotion
* Showbags you can order as give-aways
* promotional posters and flyers

We'll also be running our BMXA Clubs competition again and every Club in NT where a Ride in2 BMX attendee joins BMXA (including 4mth memberships) will go into a draw for a $500 prize to be spent on items to assist your Club.

So fill out the Application below and be part of the 2018 Northern Territory National Series Ride in2 BMX event!

Club Name *
Your State Association *
Date (Please tick your date) *
Required
Organiser - (Name of the Individual who is the best contact for BMXA or attendee enquiries) *
Mobile Number of the Organiser *
Track Location (Street No and Street) *
Track Location (Suburb) *
Track Location (State) *
Track Location (Postcode) *
Email Address for Approval and Other Information *
NOTE: All nominated coached and officials must be valid and listed on the BMXA website. Applications will NOT be processed if nominated coaches and officials are not valid.
Coach 1 (Insert Full Name and BMXA Membership Number) *
Coach 2 (Insert Full Name and BMXA Membership Number) *
Coach 3 (Insert Full Name and BMXA Membership Number) *
Official 1 (Insert Full Name and BMXA Membership Number) *
Official 2 (Insert Full Name and BMXA Membership Number) *
Official 3 (Insert Full Name and BMXA Membership Number) *
Showbags - are not compulsory to order but include great BMXA items shown below. Cost is $8 per showbag and $10 postage per 10 bags ordered.
Show Bags Order. Show bags ($8 each) are ordered in lots of 10 with $10 postage per 10 bags ordered. Please select how many you wish to order:
Delivery Contact Person (Who we address your Showbag Order to)
Delivery Address- cannot be a PO Box (Street No and Street name)
Delivery Address (Suburb)
Delivery Address (State)
Delivery Address (Post Code)
Show Bag Payment - Please tick your payment method: *
Required
Amount Due - cost for Show bags ordered (No ordered x $8):
Amount Due - cost for postage (No ordered x $10) /10
If paying by Card - write name on card:
If paying by Card - write card number:
If paying by Card - write expiry date:
If paying by Card - write CCV number (on the back back next to signature):
Poster and Flyers
If you would like BMXA to send you a promotional poster or flyers to assist with your NSOD please advise below
Poster - tick below if you would like an electronic poster send to you that you can print and use:
Flyer - tick below if you would like BMXA promotional flyers sent to you:
Address for Flyers
Submit
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