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2023 State Cup - Protest Form
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* Indicates required question
Date of protest:
*
MM
/
DD
/
YYYY
Venue:
*
The Port Macquarie Regional Stadium & Tuffins Lane Fields
Team Name & Division:
*
Your answer
Field Number:
*
Your answer
Match Time:
*
Time
:
AM
PM
Reason for protest (please provide in full detail):
*
Your answer
Reporters Name (please provide full name):
*
Your answer
Reporters Position (e.g. coach, manager):
*
Your answer
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