FA DARTS Official Player Benefit Request
ALL BENEFITS REQUIRE A FULL 30 DAYS NOTICE! NO BENEFITS WILL BE ISSUED IN THE MONTHS OF NOVEMBER OR DECEMBER UNDER ANY CIRCUMSTANCES!
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
What benefit are you requesting?
*
Please Select
Food Stipend (1)
Food Stipend (2)
Hotel full amount
Hotel half amount
Entry $30
Free Jersey
Patch (2 Per year)
Patch ( Additional $12.50 per patch)
Supplies
What benefit are you requesting?
Please Select
Food Stipend (1)
Food Stipend (2)
Hotel full amount
Hotel half amount
Entry
Free Jersey
Patch (2 Per year)
Patch ( Additional $12.50 per patch)
Supplies
SPECIFIC DETAILS: How many entries and for what event? What free Jersey? Food Stipend for what event? Add all information you are requesting. If all information is not added, your benefit will be denied.
What supplies do you use on a regular basis? You will no longer be able to request supplies. Supplies will be sent out to you on a scheduled basis by Filthy Assassin Darts. BE SPECIFIC. If you do not have details listed, Filthy Assassin Darts will provide you with basic dart supplies on hand.
Hotels: You may split your hotel benefits into 2 payments if applicable. Please list what hotel you are staying at and what event it pertains to. If your hotel room cost is not what you are requesting, you will only be paid the full amount of the room, no balance will be issued and will be applied to your remaining benefits. In the event your hotel costs are more than your benefit, we will verify and then issue you what your benefit maximum is. All hotel benefits REQUIRE a hotel reservation sent to FA Darts for verification. In the event FA Darts does not receive a hotel reservation in YOUR name for stated event, your benefit request will be denied.
Do you have either Cash App, Zelle, or Venmo? The 3 payments listed are the only way you will receive benefit money. NO PAYPAL FOR ANY REASON! It is your responsibility to provide Filthy Assassin Darts with payment information. If you do NOT provide Filthy Assassin Darts your payment option, Filthy Assassin Darts will NOT issue your benefit request.
*
Yes
No
Payment type an EXACT account: It is the players responsibility to ensure this is correct.
Please list any other information you think we need to know to issue your benefits. PLEASE NOTE: FILTHY ASSASSIN DARTS WILL NOT ISSUE ANY BENEFITS IN THE MONTHS OF NOVEMBER & DECEMBER FOR ANY REASON! You must have a 30 day notice for all benefits.
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Additional Information:
Name & Date of your events in which you are requesting benefits for?
*
Submit
Should be Empty: