Team Purple First Game Fee Instalment Please enable JavaScript in your browser to complete this form.Player DetailsName *FirstLastDate of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email *Phone *Payment DetailsGame fees are payable in two instalments. The first instalment is due Week 1 of Term 4, 2022. The second instalment is due Week 1 of Term 1, 2023.First InstalmentTotal$ 0.00Stripe Credit Card *CardName on CardPay
