Refund Request Form

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Please review our refund policy to determine if a refund is due. View our refund policy on our website at View Refund Policy Here. If a refund is due please submit a refund request form within 14 days of cancellation. If you are unsure about a possible refund, please contact our office at 334-781-5597 or email at cancel@befouryougo.com.
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Today's Date* This field is required.
Date
Month
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Year
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Minutes
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Name* This field is required.
First Name
Last Name
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Last 4 of Social* This field is required.
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E-mail* This field is required.
example@example.com
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Reason for Refund* This field is required.
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Service Plan* This field is required.
Tier 1, Tier 2, Tier 3, Customized Plan( This includes Discounted Plans, Special Promotions, F&F etc.)
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Have you reviewed our refund policy? * This field is required.
YESNO
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Requested Refund Amount* This field is required.
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Additional NotesList any pertinent information or changes we should know. Do NOT enter any sensitive infomation.
Huge
Large
Normal
Small
Ok
Ok
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Type a question
If eligible for a refund, I agree to receive my refund via the original payment method.
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Signature* This field is required.
Clear
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How do you rate our service? * This field is required.
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Should be Empty: