Bank Details Request Form

BANK DETAILS REQUEST FORM:: This form is for the reimbursement of levies paid for the June 26, 2021 Canberra Camp (Softball) to the South West Sydney Academy of Sport.

Funds will be reimursed to the payee on the next pay cycle which is Thursday 8th July, 2021.

The Academy thanks you for your patience in this regard. If the matter is urgent, please email the administration office at admin@swsas.org.au
ATHLETE DETAILS:
FULL NAME:
SPORT:
Other Option:
BEST CONTACT EMAIL:
CONFIRM BEST CONTACT EMAIL:: Same as above
BANK DETAILS:
YOUR BANK:
ACCOUNT NAME:
BSB:: Format ### - ###
ACCOUNT NUMBER:
$ AUD AMOUNT:: AUD
Any additional information:
DECLARATION:: I have double checked the bank details provided are correct, and the above details are for the nominated bank account I wish for the funds to be reimbursed into.
I Agree:: Yes
Spam Verification: