Falkland Islands Association: Claim Form

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FALKLAND ISLANDS ASSOCIATION
CLAIM FORM
 
 

1. Please submit this form when completed to the Hon Sec who will organise repayment. His email address is honsec@fiassociation.com
2. Forms may be submitted either by post or email. Receipts should accompany claims wherever possible (scanned in the case of email claims)

3. Motor mileage is repaid at 20ppm.

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REMARKS

     
     
     
     
     
     
   

TOTAL CLAIM

 

Name ___________________________________________                          

Signature or Email address for email claims____________

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Bank Details (where payment directly to a bank account is desired):

Branch: Sort Code:

Ac Number:

APPROVED BY HON SEC / CHEQUE SIGNATORY

 

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DATE ..............

             
             
             
             

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