Fee Refund Claim -- Glen Eira FC
Use this form to claim fee refunds back from the Club

Refund Policies are online at www.gleneirafc.com.au/RefundPolicies
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Player Name *
Whose membership refund is being requested?
Year of Birth *
What year was the player born?
Reason for Claim *
Help us maximise your refund by telling us why you are requesting a membership fee refund.
Your Name *
Mobile Number *
Email *
Bank Account Details
Refunds are provided via EFT Direct Bank Transfers.
BSB *
Account Number *
Account Holder Name *
Bank Name *
Branch Name
If known
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