Tournament Cheque Request (West Lorne Comets)
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Tournament Cheque Request
Complete and Submit to request a PSMHA Cheque for entry into a tournament.
Team Requesting Cheque
*
Contact Person: Name
*
Contact Person: Phone #
*
Example: 123-456-7890
Contact Person: Email
*
Example:
[email protected]
Your submission will be sent to this address.
Date(s) of Tournament
*
Amount: $
*
Payable To:
*
I acknowledge that the tournament advance may not be processed if this information is not provided a minimum of six weeks before the tournament.
I acknowledge that any funds advanced, by WLMHA, to my team, must be repaid within two weeks of the end of the tournament.
I agree to the terms and conditions stated above
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Tue Jan 26, 2021
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