NSW Football Camp Payment Form
NB: Please complete this form in full. On pressing "Book & Pay" you will be taken to a secure payment server (PayPal) where you can pay using your Credit Card or with your PayPal Account. If you press "Book Only" your booking for that camp will be processed but you will have to either re-submit your details Online and press "Book & Pay" or send your payment to the treasurer before the closing date to be eligible to attend the selected camp.
Age:	Under 16 16 and over
Camp Date:	Please Select MAY 24 - MAY 26 2013 Please select the camp date you wish to pay for.
First Name:
Surname:
Address:
Suburb:
State:	Please Select NSW QLD ACT VIC SA TAS WA NT Please select your state.
Postcode:
Email:
Ph / Mobile:
Camp Cost $		Enter Message Here.