COVID-19 Request for refund
This form is to be used by financial members of the club for 2020 season who would like a refund
Player Name *
Player Surname *
Player Date of Birth *
Parent/Guardian Name & Surname *
Parent/Guardian Email *
Parent/Guardian Mobile *
Payment was made via
Clear selection
Bank Account Name *
Bank BSB *
Bank Account *
Would you like to donate to help with new items for the Clubrooms?Our Club President would like to invite you to donate some, or all, of this refund to the Club to help with the purchase of new items for our newly renovated clubhouse.This would be greatly appreciated by all members of our Cobras FC community. You can advise our Treasurer John Bresolin if you would like to contribute.Optional: Yes, I would like to donate to the Club to help set up the new Clubrooms for 2021 - *
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