ANSSACC PROTEST FORM

ANSSACC PROTEST FORM
This form must be lodged within ONE HOUR of the conclusion of the event in question and MUST be submitted to the Tournament Director along with the FEE of $400 (team sports) or $150 (individual sports) before it can be processed.
Enter Your Club Name
Sports Category
Event Description
Group match /Quarter Final match / Semi Final match/ Final match
Event Venue
Other Team in Event
Venue Date
Time of conclusion of the Event
Report by the Team Manager
Do you wish to attach any supporting evidence for your protest

Cancelof
Select Fee Option
Fee
Total Fee

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AUDDescription
Your Details
Name

First NameLast Name
Email
example@example.com
Mobile Number
Signature
When you will submit the form, a confirmation email will be sent to your email, however if no confirmation is received, please contact relevant Sports Coordinator.
Pay with PayPal

Choose from one of the PayPal options to make your payment.
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Your Details