Convention Registration Refund Request

WSSRA Convention

Registration Refund Request and or Replacement Delegate form
This Convention Registration Refund request needs to be filled out and submitted prior to May 15th and will be processed after the convention on your June unit deposit.
Unit information to request refund
Unit Treasurer or President Name

First NameLast Name
Phone Number (Unit Treasurer or President)
Format: (000) 000-0000.
Email
example@example.com
Name of delegate not attending

First NameLast Name
Refund or Replacement delegate?
Replacement delegate name (if Replacement Delegate is chosen)
Cell Phone (Replacement Delegate)
Format: (000) 000-0000.
I certify that all information entered above is valid and true.
Date

MonthDayYear
Date
Should be Empty:

WSSRA Convention