| REQUEST FOR �TEAM NO SHOW� PAYMENT Name:___________________________________ Phone:__________________ Address:_________________________________ City:________________ Zip:___________ I reported for the following game and received no payment: Date:____________ Field:___________________ Time:_________ Level:_________ for the following reason: _____TEAM DID NOT SHOW (Explain)____________________________________________ _____TEAM HAD LESS THAN SEVEN PLAYERS (Explain)____________________________ _____FIELD UNPLAYABLE (Explain)______________________________________________ _____OTHER (Explain)___________________________________________________________ ********** MY ASSIGNMENT WAS:_______________________________________________________ PAYMENT DUE IS:___________________________ MY PARTNERS WERE: NAME:______________________________ POSITION:____________________ NAME:______________________________ POSITION:____________________ COMMENTS: ___________________________________________________ date Signature Send to: ROSRA 503 Melody Court Royal Oak, MI 48073 |