Payment Details

BWHA do not use the IMG online payment system.


U18 Selection Trials - ________________________________         (name of Participant)

Club: _________________________________________________

Please Print off, scan & email to or post into the office - BWHA, 16 Melbourne Street, Windsor, Qld  4030. 


Trial Cost - $45.00.  BWHA accept the following:

1. CASH - at the office (no payment accepted at the trials)

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 digits on back of card)


  Total Amount Paid: ____________________

NB:  All players must be financial with their Club to be eligible to nominate for Brisbane.  BWHA can not accept unfinancial players at Aged Selection Trials.