2023-2024 NVMHA Refund Request Form (Newcastle Village Minor Hockey Association)

2023-2024 NVMHA Refund Request Form

Obtain a Registration Refund

Please read the Refund Policy contained in the NVMHA Policies and Guidelines document before requesting a refund.

Complete the information below to request your refund.

For questions about refunds please contact [email protected].

Name of Player^*

Required

Child/Players Name

Date of Birth^*

Required

Child/Players Birth Date

Home Address^*

Required

This is the address where the cheque will be mailed.

City^*

Required

Postal Code^*

Required

Contact Phone #^*

Required

999-999-9999

Email Address^*

Required

Example: [email protected]

Parent/Guardian Name^*

Required

This will be the name of the person who the cheque will be made payable to.

Do you have pre-authorized payments pending?^*

YesNo

Required

What is the reason you are requesting a refund?^*

Required

Office Use Only

FOR OFFICE USE ONLY. PLEASE DO NOT COMPLETE THIS SECTION.

Refund Application Form Received

Acknowledged & Received

Comments

Treasurer

Refund GrantedRefund Denied

Amount?

2023-2024 NVMHA Refund Request Form (Newcastle Village Minor Hockey Association)

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