Waratah Masters Race Reimbursement

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Use this form to submit a claim for reimbursement for race entry fees in accordance with the club policy.

State and National Masters Championships: Reimburse up to $200 p.a. for entry into road or track events.

Country Road Races: Reimburse up to $200 p.a. for entry into country road races listed on the CNSW events calendar. This excludes sportif and fondo type events e.g. Blayney to Bathurst, Bowral Classic.

Additional Funding: Consideration will be given to some additional funding for groups of Waratahs who wish to represent the Club at Country Events. Any proposals should be submitted to the committee for prior agreement.

Name *

Licence Number *

Race *

Is this a State/National Event?

Yes

Race Date *

YYYY

Race Entry Fee Claimed ($) *

Bank Account Name

Bank BSB

Bank Account Number

Submit

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