GLATA Refund Request
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for Refund
Registration Amount
Workshop Amount
Special Events Amount
Refund Total
Refund forms must be submitted within 10 days after the conclusion of the meeting. All refunds are subject to a $10 cancellation fee
Submit
Should be Empty: