HRBUniversal Refund Request Help Ticket

1
Contact Person's Name* This field is required.Only the person who can request a refund.
First Name
Last Name
2
Email* This field is required.Must match the email address on the registration.
example@example.com
3
Eventbrite Order #* This field is required.
4
Session Date* This field is required.
Date
Year
Month
Day
5
City & State of Session* This field is required.
6
Are you requesting a refund 5 calendar days prior to the session date?* This field is required.
YESNO
7
Was your session rescheduled to more than 60 miles from the original session location?* This field is required.
YESNO
8
Was your session rescheduled more than 60 days from the original session date?* This field is required.
YESNO
9
Were you not offered another option to receive your certification in the reschedule email you were sent?* This field is required.
YESNO
10
Reason of request for a refund?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: