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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
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2
Email
*
This field is required.
Must match the email address on the registration.
example@example.com
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3
Eventbrite Order #
*
This field is required.
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4
Session Date
*
This field is required.
-
Date
Year
Month
Day
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5
City & State of Session
*
This field is required.
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6
Rescheduled Session Date
*
This field is required.
-
Date
Year
Month
Day
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7
Rescheduled City & State of Session
*
This field is required.
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8
Participant Names Being Rescheduled
*
This field is required.
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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.
YES
NO
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10
Signature
Clear
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