2020 INA Junior Nationals – Refund Application Player's First Name Player's Last Name Contacts Mobile Home Phone Player's Email Address Address Suburb Postcode State Country Date of Birth Parental Contacts Mother's Name Mother's Mobile Mother's Email Father's Name Father's Mobile Father's Email 12&U Girls14&U Girls16&U Girls16&U Mixed Selected Team: Bank Details for Refund Account Name BSB Account No. Declaration By completing this form, you are (player/parent/guardian) declaring that the information supplied above is correct, and you are authorized to apply for a refund of player fees for the 2020 INA Junior National Championships, as determined by ISNSW/INNSW. DO NOT CLICK SUBMIT MORE THAN ONCE!! 2020INAJUNIORSREFUND
