Refund Request (North Durham Minor Hockey)
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Refund Request
Please complete the form to apply for a refund. Refunds will take approximately 4-6 weeks to be processed.
Player Information
Last Name (Player):
*
First Name (Player):
*
Year of Birth:
*
Current Team/Division
*
Requestors Information
Last Name:
*
First Name:
*
Phone Number:
*
Email Address:
*
Payment Information
Original Method of Registration
*
On-Line - Hockey Canada Registration
On-Line - Blades Registration
Payment Method
*
Credit Card
Cheque
Cash
e-transfer
Check All That Apply
Reason for Player Withdrawl
Reason for Refund:
Medical
Family Reolcating
Moving Associations (AAA)
Vaccination Policy
Other
Comments:
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