Please fill in your details and the games you have refereed to claim your fee.
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Full Name (as on bank account) *
Email Address (for receipt) *
Sort Code *
Account Number *
Age Group Reffed * -- Select Age Group -- U8s U9s U10s U11s U12s U13s U14s U15s U16s Adults
I confirm I have double-checked the bank details above. I understand that if they are inputted incorrectly, the club accepts no liability for the payment. *
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