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2022 12th Night Refund Request
Please request your refunds or confirm your donations here.
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Mundane Name
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Your answer
SCA Name
Your answer
Membership Number
Your answer
Email address
Your answer
Phone number
Your answer
Mailing address
*
Your answer
Which of the following statements applies?
*
I am requesting a full refund for myself only.
I am requesting a full refund for myself and my household.
I would like to donate all or part of my refund for myself only.
I would like to donate all or part of my refund for myself and my household.
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