Refund

Name *

Last name, first name

Billing address *

Street or P.O. Box

City, State Zipcode *

E-mail Address *

Course/Workshop *

or dates of visit if not associated with class or workshop

Amount to be refunded *

Justification *

Briefly explain the nature and reason for the refund (e.g. overpaid for meals or class cancelled)

Date of transaction *

Found on your receipt. Best approximation if you cannot find it.

Confirmation number *

Six-digit confirmation number on your receipt. Leave blank if you cannot find it.

Card type *

Card type (e.g. Visa, Mastercard, Discover, etc.)

Last four digits *

Last four digits of card number used for the transaction

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