| MYSA Refund Request | |||||
| Full refunds are available if submitted prior to September 1, 2008. After September 1, MYSA board must approve all refunds. If refunds are approved after said date a $37.50 fee will be deducted for incurred expenses. | |||||
| Please send all refund requests to: MYSA, PO Box 782, Mustang, OK 73064 | |||||
| Player's Name | Date | ||||
| Amount Requested | Amount Paid | ||||
| Parent's Name | |||||
| Reason for Refund | |||||
| Approved by Registrar | Signature | ||||
| Date Received by Treasurer | Signature | ||||
| Check # of Refund | Date of Refund | ||||