NSWTA Events Refund Request Form
Please complete the below details in full. Incomplete forms will not be accepted.
Name
*
First Name
Last Name
Mobile Number
*
Email
*
example@example.com
Which Competition Are You Requesting a Refund from
Please Select
Vawdon Cup
State Cup
Country Championships
Junior Regionals
Junior State Cup Southern
Junior State Cup Northern
Date of Birth
*
Affiliate
*
Division/Team
*
Reason for Requesting Refund
*
Payment Details for Refund
Account Name
BSB
Account Number
Player/Parent Signature
*
Submit
Should be Empty: