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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: ________________________________


Ref. fee

Other (description)






















































*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:  Zvi Albert  


93 Surrey Lane  


Tenafly, NJ 07670

City, State Zip


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