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NAME: _______________________________________
(PLEASE PRINT!!!)
ORGANISATION: _______________________________________
(PLEASE TICK ONE BLOCK)
| PHOTOGRAPHIC | ||
| ELECTRONIC (IF YES, PLEASE COMPLETE BELOW:) |
NAME OF RADIO STATION: _____________________
NAME OF TV STATION: _________________________
POSTAL ADDRESS: ________________________________________
________________________________________
TEL NO’s: WORK _____________________________
FAX ______________________________
E-MAIL _______________________________
SPORTS EDITOR: NAME: ______________________________
Signature: __________________________________
Endorsement signature of
FA Representative: __________________________________________________
PLEASE NOTE : THE FOOTBALL ASSOCIATION WILL DETERMINE THE FINAL LIST OF SUCCESSFUL APPLICANTS
Applications to be returned to Felicia Ntisa by latest Friday, 19 October 2007 on felicia.sports@msportsmarketing.co.za or fax back to: 086 514 9212