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University Or College Information
Name of The University*
English or International version of your University name
ENAS Website Username*
Preferred username to login to enas-sport.net
University Logo
Accepted file types: jpg, gif, png.
jpg, gif or png for website, below 1MB
Web Address Sport Service

The website url to your student sport service
Sport Service General email

Insert the general e-mail address for the University Sports Services

Invoice Information
For The attention of
Optionally an extra address line to specify to whom the invoice must be addressed
Invoice Reference
Optionally provide an invoice reference to be mentioned on the invoice
Invoice Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1st Contact Person
Name
Prefix First Last
Job Title
Photo ID
Accepted file types: jpg, gif, png.
jpg, gif or png for the website, below 1MB
Phone Number*
Mobile Number
Email Address*
2nd Contact Person
Name
Prefix First Last
Job Title
Photo ID
Accepted file types: jpg, gif, png.
jpg, gif or png for the website, below 1MB
Phone Number*
Mobile Number
Email Address*

Membership
Policy*
- Yes, I AGREE to the ENAS Membership Policy.
The Membership Policy can be found here: http://www.enas-sport.net/wp-content/uploads/2018/08/20151026_ENAS_membershippolicy.pdf
- I agree to receive the ENAS e-mail communication.
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
- Pay Via Bank Transfer
Details:

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