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PREMIER LEAGUE

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<strong>PREMIER</strong> <strong>LEAGUE</strong><br />

Form 41<br />

APPOINTMENT OF SINGLE ARBITRATOR (Rule X.15.1)<br />

To:<br />

The Secretary<br />

The Premier League<br />

Pursuant to the request for arbitration made by<br />

and dated<br />

appoint (name of appointee)<br />

arbitrator in the arbitration requested.<br />

Signed<br />

On behalf of<br />

Position*<br />

we, the parties to the arbitration, hereby jointly<br />

as the single<br />

Signed<br />

On behalf of<br />

Position*<br />

<strong>PREMIER</strong> <strong>LEAGUE</strong> FORMS<br />

Date<br />

Date<br />

* to be completed if the Form is signed on behalf of the League or a Club.<br />

309

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