2018 Nationals – Player Registration

* indicates required

Gender *

State Representation *

Division (Select all that apply)

Presentation Attendance

ACTBA Members Only
A fee of $50 will be required prior to the night to secure your seat. Payments can be made to the ACTBA Account directly.
BSB: 633 000; Account: 136 022 043;
Please use the following reference: GALA LAST_NAME FIRST_INITIAL

If you’re planning to bring additional guests, please let us know via info@actbroomball.org.au and amend your payment total accordingly. Costs have been sent out via Facebook and email.

All Other Association Members
Please co-ordinate payments through your own Associations. ACTBA will work with them to arrange payment ahead of the event.