2020 SMBA Reimbursement Form (Stratford Minor Baseball Association)

Print 2020 SMBA Reimbursement Form
Please fill out this form to request a refund for the 2020 SMBA season. Any questions please email [email protected] If you're unable to fill/submit this form, click on "2020 SEASON REIMBURSEMENT FORM" on our main page at the top for a printable PDF.
  1. Please be assured that SMBA will not share any of the following information.
Contact Information
Please fill in below only if you have registered your child through Goalline and paid for the 2020 season. Rep parents: If you did not register but need to be reimbursed for your commitment fee paid in 2019, please fill in the form and indicate in the notes section: "I did not register through Goalline, but did pay my commitment fee in 2019."
  1. (first and last name)
  2. (first and last name)
  3. Choose one
  4. (first and last name)
  5. Choose one
  6. (first and last name)
  7. Choose one
  8. (first and last name)
  9. Choose one
  10. (street number and street name)
  11. (city name)
  12. (postal code)
Reimbursement
2 Options for Reimbursement: 1. Direct deposit (fill in banking info below and your money will be deposited in your bank account)----- 2. Cheque by Mail (do not fill in below and cheque will be mailed to the address you provided above)----- Any questions please email [email protected]
  1. (Name of your bank, for example: TD, RBC, BMO, etc.)
  2. (5 digits)
  3. (3 digits)
  4. (max 12 digits)
NOTES
  1. Fill in notes here
Human Validation
Printed from stratfordminorbaseball.ca on Saturday, July 4, 2020 at 2:55 PM