NC One Water

Refund Request Form

All refunds will be issued minus a $50 administrative fee and will be made according to the original payment method. Refunds for event registrations may not be processed until the conclusion of the event. For refunds on book orders, shipping and handling charges will not be refunded and books must be returned in their original condition.

Your Information

First Name

Last Name

Contact Information

Organization

Address Line 1

City

State

Zip/Postal Code

Phone

Purchase Information

Type of Purchase

Registration Books Other

If Other, please describe

Name on Order

Event Name

Refund Details

Refund Method

Credit Card Check Electronic Check

Last four digits of card

Name and Email Address of Electronic Check Recipient

Name and Address of Check Recipient

Reason for Refund Request

Total Refund

Equals Total Paid Fee - $50 Administrative Fee

Attach Original Receipt/Invoice

File

Maximum file size: 25 MB.