JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Refund Request Form
Please complete the questions below if you would like to be considered for a refund from the Center for Mindful Self-Compassion.
Read the refund policy, and see all CMSC policies,
here
!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
City, State/Province, and Country
*
Your answer
Which course/workshop are you asking for a refund from?
(Please provide offering title, date, teachers)
*
Your answer
Please describe why you are requesting a refund.
*
Your answer
What amount are you asking to be refunded?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Center for Mindful Self-Compassion.
Report Abuse
Forms