Application for Fee Payment Plan

Footscray Hockey Club
Application for Fee Payment Plan - 2019
Full Name

First Name Last Name
E-mail
Phone Number

- Area Code Phone Number
Name of person this payment plan will cover
Click to edit
2019 Fee Structure
Please explain your exceptional circumstance for requiring a payment plan. Note: This will be kept in strict confidence.
Please select the applicable payment plan option.
Do you acknowledge that you must make payment by the required dates as outlined in the selected payment plan option?
Do you acknowledge that payment must be made via Direct Deposit to the FHC Bank Account?
Thank you for applying for a payment plan. The FHC Treasurer will be in touch with you soon to advise the outcome. We hope you have an enjoyable season.

Kind regards,

FHC Board of Directors
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