High River Storm Umpire Payment Request
This form is for umpires to request payment for games that have been completed.
- Please ensure you use the email address you wish to receive e-transfers to.
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Name (First Last) *
Email Address *
Date Of the Game *
MM
/
DD
/
YYYY
Start Time of the Game *
Time
:
Field Location
Clear selection
Division Umpired *
Plate or Base Umpire *
If you were the Plate umpire, did you have a second umpire?
Clear selection
Additional Mileage (Over and above 90km Round Trip)
Questions, Comments, Concerns
Submit
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