HRBUniversal Reschedule 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
Rescheduled Session Date* This field is required.
Date
Year
Month
Day
7
Rescheduled City & State of Session* This field is required.
8
Participant Names Being Rescheduled* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
I understand requesting rescheduled session after email/app notification has been sent I will be charged $60 per participant and must be paid by eInvoice before being placed in the new session date and is subject to the same Course & Exam Details (Instructor-Led, On-Demand, and Online) excluding that the registration will be non-refundable being that the session is being held on the original session date.
YESNO
10
Signature
Clear
Should be Empty: