Request for a refund from the Charity
Name of member
First Name
Last Name
Name of the person completing this form
First Name
Last Name
Phone no.
Email
example@example.com
Please list amounts and dates of any monies you feel have been collected in error.
Please upload screenshots if you can
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Please send us the account details for monies to be returned to.
Account name
Account No.
Sort code.
If the monies are being returned to an account other than the one they were paid from please confirm you are entitled to them, or you hold 'power of attorney' for the person you are claiming this refund for.
*
Yes I am.
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