VAI Associate Club Affiliation Form

Affiliated to: FIVB, CEV, Olympic Council of Ireland

VAI Associate Club Affiliation (For clubs not involved in the National League) (Please fill in using BLOCK capitals) Club Name: Home Venue: Club Secretary: Postal Address: Phone:

(H):

(W):

Fax:

(H):

(W):

(M):

E-mail: Club Affiliation:

Fee 2015/16 Associate Affiliation

€25

Signed:

Date:

Club Secretary

DRO Issued By

OI

DRI

REG

PT

st

Volleyball Association of Ireland, 1 Floor, 141 Thomas St., Dublin 8. T +353 1 6707165; F +353 1 6707167; E [email protected]; W www.volleyballireland.com The Volleyball Association of Ireland Ltd. - Registered in Ireland - Company No: 317399

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