Request for Refund/Reimbursement (St. Marys Minor Hockey)

Print Request for Refund/Reimbursement

Please refer to refund and reimbursement requirements and provide all required information. Failure to provide the required information and supporting documentation will result in the request being denied and not processed. Submission of the online refund/reimbursement request form will automatically go to the SMMHA Treasurer for processing. It may take up to 30 days for request to be processed and payment issued. Thank you.

Request for Refund/Reimbursement

Requestor Name:^*
Player Name:

applicable for registration refund
Requestor Email:^*

Example: [email protected]
Requestor Phone Number:^*

Example: ###-###-####
Refund/Reimbursement Request Type:^*
Refund/Reimbursement Amount Requested:^*
Details of Request:^*
Documentation to support the refund/reimbursement request must be uploaded. Failure to provide the required documentation will cause the request to be denied and not processed.^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 10. Maximum File Size: 4MB.

Agreement

I agree that the information contained in this request is accurate and I agree to all terms and conditions in making this refund/reimbursement request.^*

Human Validation