Request Forms - NC One Water

Refund Request Form

PLEASE NOTE:
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.
First Name *
Last Name *
Organization *
Address Line 1 *
City *
State *
Zip/Postal Code *
Phone *
Email Address *
Type of Purchase *	Registration Books Other
If Other, please describe
Name on Order *
Refund Method *	Credit Card Check
If Credit Card: Last four digits of card
If Check: Delivery Method	Paper Check *Electronic Check
If Check: Name and Email Address of Recipient
Event Name *
Reason for Refund Request *
Total Refund *Equals Total Paid Fee - $50 Administrative Fee
Attach Original Receipt/Invoice *