Rebate Request Form

Club Name *

City *

State *

Name of Home Field *

Member of VBBA since *

Is your club affiliated with any league, historical society, or association in addition to the VBBA? *

Yes

If so, please name the organization *

Name of Club Captain *

City *

State *

Zip *

Telephone *

Email *

Club Website

Rules year your club is based on *

Vendor from which items were purchased *

Please list items purchased under terms of rebate program. Please list specific bat models, base ball types, uniform styles, etc *

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. *

Yes