House League Fill-In Umpire Payment Request
Thanks for umpiring a game for our League. Please fill out this form to recieve payment. 
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Email *
Name: *
Mailing address (Your check will be mailed here) *
What was the date of the game you umpired? *
MM
/
DD
/
YYYY
Where was the game played? Please list the field the game was played on.  *
What house league was the game for? *
What teams were playing? 

(If you don't know, please list the name of one of the coaches)
*
Thanks again for helping out by umpiring this game. We make every attempt to hire umpires to fill all the games. For games that we are unable to fill, we are greatfull that you could help out!
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