JBC Draw Change Request

Name: Brisbane Basketball Inc
Address: Auchenflower Stadium, 16 Dixon St, Auchenflower, Queensland, 4066, AU
Telephone: (07) 3371 0200
Price range: $

Club Requesting

Club Contact Name

Team Name

Round

Date of Clash

If this is a regular clash with another team in your club please complete the information below. If it is not please ensure the date of clash field is completed

Team Name of additional clash

Any further Information

JBC Draw Change Request

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