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Referee Reimbursement

Tenafly United Soccer Club

Referee Fee Reimbursement Request Form

 

 

Team:  U-___  B  G                Season:  Fall    Spring   20____

Person requesting reimbursement: __________________________________

Position: ________________________________

Date

Ref. fee

Other (description)

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*All Reimbursement requests must be submitted within 30 days of the end of the season for which reimbursement is sought.

 

 

Signature: ________________________________________

Phone No.: (___) ____ - _________

Email: _______________________

 

Mail this form to:

Check made out to:

TUSC Treasurer 

Name:

54 Bliss Avenue 

Address:

Tenafly, NJ 07670

City, State Zip