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Player Representative Reimbursement Form
Players Representative Reimbursement Form
Players Name
Phone Number
Email Address
Event
Date of Event
Host Club
Airfares & Accommodation for National Events held outside Auckland Region
Accommodation for National Events within the Auckland Region
Accommodation Supplement for UNITE Tournaments
Bank Account Number
Authorised by Match Convenor
Date
Please select the current date so that we can time stamp your expenses reimbursement claim.
When you reach this point your form is NOW complete. Just fill in the "Captcha" code and click the submit button. Please forward to Croquet Auckland Treasurer.
Date paid by Treasurer
Amount paid by Treasurer
Captcha
81763
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