Tournament Cheque Request (Kitchener Minor Hockey)

Tournament Cheque Request

Tournament Cheque Request Form

This form is to be completed with all required details to request a cheque payment for a tournament for your team. Also, to be used to request reimbursement for a tournament payment made by the coach/volunteer in advance of the team account being setup and monies collected. Cheques will take about 7-10 business days to be issued and signed. We will send an email when the cheque is ready for pickup in the KMHA office.

All information to be completed FULLY for your cheque to be completed. Don't forget to complete your travel permit as well.

PLEASE COMPLETE THE CHEQUE INFORMATION CAREFULLY AS THIS IS THE INFORMATION USED WHEN THE CHEQUE IS ISSUED.

REISSUING OF CHEQUES FOR IMPROPER INFORMATION ENTERED ON THIS FORM MAY RESULT IN A CHARGE TO THE TEAM.

I agree to the terms and conditions stated above^*

Team Information

Team Name^*

Team Category^*

Alliance Rep
OWHA Rep
Alliance HL
OWHA Local League

Team Coach Name^*

Team Coach Email Address ^*

Example: [email protected]. Your submission will be sent to this address.

Team Coach Phone Number^*

Tournament Information

Name of Tournament^*

Tournament Dates (Start-End)^*

Cheque Details

Cheque Amount^*

Currency for Cheque^*

CDNUSD

Cheque PAYABLE TO:^*

Mailing Address^*

City^*

Prov/State^*

Postal/Zip Code^*

Upload Confirmation or Receipt^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 6. Maximum File Size: 4MB.

This includes a registration confirmation email from the tournament OR a receipt of payment being reimbursed to an individual

Tournament Cheque Request (Kitchener Minor Hockey)

Team Information

Tournament Information

Cheque Details

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