Higher Ed Leadership Experience Cancellation Form

Higher Ed Leadership Experience Cancellation Form
Cancellation Policy

Program cancellations received:
- Through August 19 will be processed for a full refund.
- From August 20 through September 9 will be processed for a partial refund.
- After September 9 will not be eligible for a refund.
Please provide your own contact information. If you are completing this form on behalf of the program registrant, you will have the opportunity to provide that person's information below.
Your Name

First NameLast Name
Your Institution
Your Email
example@example.com
Are you the registered attendee?
Registrant's Information
Registrant's Name

First NameLast Name
Registrant's Institution
Registrant's Email
example@example.com
Payment Information
How was the registration paid?
Enter the email address where CUPA-HR should send an updated invoice:
example@example.com
Enter the mailing address where CUPA-HR should send the refund check.
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please include any additional information:
Should be Empty:

Registrant's Information