FARM 2020 Refund Request Form

First Name *

Last Name *

Method of payment

Paypal or credit card

Check

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Paypal Email Address (if different)

Refund requested for *

SELECT ALL THAT APPLY

Conference Registration

Sponsorship

Official Showcase Submission

Required

Refund Choice *

Full Refund

Donate to FARM

Partial donation/partial refund (indicate amount in next field)

Please refund all but this amount

50%

25%

Other:

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Please feel free to leave any comments/questions below. Thanks.