Conservation Council of South Australia

Green Hubs Registration

Club Name(*)

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Street (*)

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Suburb(*)

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Postcode(*)

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State(*)

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Council Area

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Phone

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Fax

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Website
Contact Person
Name(*)

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Role

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Mobile

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Phone

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Email(*)

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Type of Facility

Sporting Community Centre Church Invalid Input
Other - please describe

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Users of facility (apart from you)

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How is facility used

Meetings Sports Meals Chook Raffles Invalid Input
Other

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When is facility used

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Number of Members
Adult

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Junior

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Management Committee
Number of members

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Meeting times / dates

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Enter these 4 characters in the box below (all lower case)

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