Band & Orchestra Camp - Buff Gold Card Refund Request Form
This form must be filled out in its entirety in order to receive a refund. All forms must be filled out no later than Saturday, July 13th. Forms will not accepted after that date.
West Texas A&M University Buffalo Gold Card Office
Phone: 806-651-4653
I hereby request a refund of any remaining balance above $10.00
*
Yes
Camper Name
*
First Name
Last Name
Camper Gold Card #:
*
I understand that this refund will be made by check issued from West Texas A&M University Business Office and may take 4-8 weeks to receive.
*
I understand.
Parent/Guardian Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
I understand that this form MUST be filled out by July 13, 2024 and no forms will be accepted after that date.
*
I understand
Parent/Guardian Signature
*
Typed parent/guardian name will be the same as a signature.
Please verify that you are human
*
Submit
Should be Empty: