Team Entry Forms for MEMRLTA's Winter 2023 Season

Instructions

Provide details about your Club, Club Contact and how you will be paying (via internet banking or cheque) by using the Club & Club Contact Details Form below. Submit this form only once, regardless of how many teams you are entering. Banking details and the Treasurer's mailing address will be sent to the Club Contact's email address after the form is submitted.
Complete a separate Team Entry Form for each team. You don't have to submit all teams at the same time. You may come back at a later time to submit more teams.
Send your payment either via direct debit or cheque to MEMRLTA.

Team entry fee is $30/team.
Payment to be made via internet banking or cheque (payments not available via this website)

Club Details

This information is used for the fixture.

Club Name* Address* City*

Number of teams your club is entering*

Additional information about club

Club Contact Details

MEMRLTA sends important notices and information to each Club Contact throughout the season.

First Name* Last Name* Email address* Phone number*

If you are not the Club Contact, please provide your details below:

Your name - if different from Club Contact Your email address Your phone number

Additional comments/information/requests

If nothing seems to happen after clicking 'SUBMIT', ensure that you have entered information into each of the required* fields.