ASC Refund Form

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ASC Refund Form

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Contact Telephone Number *

Your answer

Email (MUST be the same email address as you used for your PayPal ASC Registration or the refund cannot be processed) *

Your answer

Donation Options *

100% Donation (You will not receive a refund)

50% Donation

25% Donation

0% Donation (You will receive your full PRORATED refund)

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