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: ________________