Volunteer Reimbursement Request (Burlington Girls Hockey Club)

Print Volunteer Reimbursement Request

IMPORTANT - YOU WILL ONLY BE REIMBURSED ONCE BOTH YOUR PAYMENT RECEIPT AND THE RELATED CERTIFICATE(S) ARE SUBMITTED. PLEASE DO NOT REQUEST REIMBURSEMENT UNTIL YOU HAVE THE CERTIFICATE(S). Please complete this form, attach receipt and related certification and SUBMIT. This form goes to BGHC Office Manager, Gail Marcos at [email protected] We much prefer to do the reimbursement to your credit card used for registration. This makes the entire process most efficient. We cannot reimburse to a credit card if you did not pay your registration with a credit card. In such case, we will issue a cheque.

First Name^*
Last Name^*
Mailing address^*

(If you request reimbursement via cheque, this is the address we will use).
Mailing address^*

If you request reimbursment via cheque, this is the address we will use.
Email Address^*

Example: [email protected]
Reimbursement Requested
NCCP Coach CourseHTCP Trainer CourseRIS Activity LeaderPolice Check
Check All That Apply
Can we issue your reimbursement to the credit card on file from your registration?^*
YesNo (cheque will be issued)
NOTE: We do NOT have your credit card on file but we can access a prior payment in order to process a refund for purposes of issuing this reimbursement.
Attachments

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 10. Maximum File Size: 4MB.
Attach receipt and certification for each item requiring reimbursement