BMHA RIS/HCSP Fee Reimbursement Request
Form to collect RIS/HCSP fee reimbursement requests 
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Email *
What is your name? *
What is your mailing address?

Please include the following information:

Your street address (eg.  #1-1234 Main Street)
Your town/city and province (eg. Burnaby, BC)
Your postal code (eg. V3A 1A8)
*
Which BMHA team(s) are you rostered on? 
(For example - Bulldog/Wildcats U7 C1)
*
Which courses have you completed? *
Required
Please email the course related documents to the following email for review:

1) Completion Certificate(s)
2) Payment receipts for course(s) 
(RIS - $36.75) (HCSP - $42.00)
A copy of your responses will be emailed to the address you provided.
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