Payment Options

BWHA do not use the IMG online payment system.

                                                               PAYMENT FORM ONLY

U11 Development Program - ________________________________  (name of Participant)

CLUB: ___________________________________________________

                                                           Please Print off, scan & email to development@bwha.com.au

                                                          or post into the office - 16 Melbourne Street, Windsor, Qld  4030

 BWHA accept the following payments (No payments accepted at the Program)

1. CASH - at the office. 

2. CHEQUE - made payable to Brisbane Womens Hockey Assoc and mailed or handed in at the office.

3. DIRECT DEBIT - Brisbane Womens Hockey Assoc

                                   BSB: 124-001

                                   Account: 14542177

4. CREDIT CARD - manually processed in the office (1% surcharge will be added to total). Please email details:

   Name on Card:  ___________________________________________

   Card Number:  ________   ________   ________   ________

   Expiry Date:  ____  /  ____                      CSV #: _________  (3 digit number on back of card)      Cost to Participate: $35.00

           YOU MUST COMPLETE THE ONLINE REGISTRATION FORM AS WELL