REQUEST FOR REFUND

Southwest Youth Athletic Association

DBA Ken Berry

 

 

All requests are subject to approval by the Board of Directors of SYAA, dba Ken Berry League,

and an administrative fee will be assessed.

 

 

Baseball Division _____________________

Softball Division _____________________

 

 

Reason for refund:

 

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ALL REQUESTS MUST BE APPROVED BY

THE BOARD OF DIRECTORS OF SYAA, DBA KEN BERRY LEAGUE

 

Printed Name __________________________________________
Signature __________________________________________
Address __________________________________________
City/State/Zip __________________________________________
Home Phone __________________________________________
Date Submitted __________________________________________

 

 

 

Please mail completed form to:

SYAA, Inc.

PO Box 4967

Topeka, KS  66604

 

Approved:        ________________    Amount Approved: $_______

Not Approved:  ________________