Tuna Fund Reimbursement Request
Request Reimbursement for Umpiring Expenses from the Tuna Fund
Name
*
First Name
Last Name
US Sailing Member ID
*
(Six digits followed by one capital letter)
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mobile Phone
*
-
Area Code
Phone Number
Event
*
Date
*
-
Month
-
Day
Year
Date
Chief Umpire
*
First Name
Last Name
Grade
*
Expenses Paid by the Organizing Authority
*
Expenses Claimed
*
Amount of Expenses Claimed
*
Attach Chief Umpire's Report
*
Browse Files
Cancel
of
Receipts (Please scan and attach all receipts - single file preferred)
Browse Files
Cancel
of
I, the undersigned, hereby acknowledge that I have read the Rules of the Tuna Fund. I acknowledge that I understand these Rules and agree to abide by them. I state that I have not and will not be reimbursed directly or indirectly for the above expenses.
*
Yes
Your Email
*
example@example.com
Submit
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