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Ump Payment Request
This form is for requesting payment for Fort Myers Baseball League contests where payment was not received either due to forfeit, default, or rain out. Please complete this form in full to ensure prompt and proper payment of your game fee.
*
Game Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2
3
4
5
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7
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20
21
22
23
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25
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31
2012
2013
2014
2015
*
Amount / Reason of Requested Payment:
Please Select One
$ 0 - Game cancelled more than 30 min before scheduled start time.
$20 - Game cancelled within 30 min of start time, present at field.
$40 - Game started, but did not complete 5 official innings.
$70 - Official game completed, manager did not pay game fee.
Other amount -- Please call Brad Haley at (239) 357-0340.
*
Umpire Full Name:
*
Email Address:
*
Phone Number:
*
Address to Send Payment to:
* indicates required fields