Course Voucher Refund Request
Name
*
First Name
Last Name
Email
*
example@example.com
Voucher Number
*
Voucher numbers can be retrieved via https://shop.playnrl.com/voucher-existing
Has this voucher been used to enrol in a course?
*
Yes
No
If yes, please name the participant and the course they have enrolled in using the voucher.
Payment Method
*
Please Select
Credit Card
Bank Transfer
Course Type
*
Please Select
Sports Trainer
Coach
Refund Reason
*
Date of Payment
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Amount to Refund
*
Transaction ID (This can be found on the top of your email receipt from eWay)
This is a 9 digit number i.e. 761909659
Bank Name
BSB
Account Number
Account Name
Please verify that you are human
*
By tapping Submit, I agree to the
NRL Terms of Use
,
Privacy Policy
and
Collection Statement
Submit
Should be Empty: