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
Team Sports $400Individual Sport $150
Fee*
Total Fee*

prevnext( X )
AUDDescription
Your Details
Name

First NameLast Name
Email*
example@example.com
Mobile Number*
Signature

Powered by Jotform SignClear
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.
Should be Empty:

Your Details