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Schedule to Licence Agreement
Australian Powerlifting Union LTD Version 0201.22
Online Form Created by : Sectio (Tyo Muir)
Please read thoroughly APU LICENCE AGREEMENT here
https://www.powerlifting.org.au/content.cfm?page_id=1192229¤t_category_code=21217
By submitting this form, you agree to the APU LICENCE AGREEMENT
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Email
*
Your email
Application
*
New
Renewal
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Affiliate Club Name
*
Your answer
Affiliate Club’s Contact Email
*
Your answer
Affiliate’s Club Location
*
Your answer
Licence Fee (AUD 50)
*
PAID
I'LL PAY LATER
Account Details for 'Licence Fee' Payment:
Bank Name: Commonwealth Bank
Account Name: Australian Powerlifting Union Ltd
BSB Number: 062-281
Account Number: 11717849
NOTES:
-Please include your gym/club name in the description field as reference
A copy of your responses will be emailed to the address you provided.
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