Refund Application

Refund Request Form for WODIL 2024 Conference Participants
PLEASE NOTE: You will also need to advise the Event Coordinator of your intention to withdraw from the conference using the Contact Form.
Name*

Participant First NameParticipant Last Name
Date of Birth (MM/DD/YYYY)*
Email*
[email protected]
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registration Date
Conference Registration Receipt # *
Authorized Rep. Name (if applicable)
Reason For Refund*

Visa denial (please submit a copy of your visa denial letter below).Attending another conferenceOther
Upload Visa Denial letter Here:*

Cancelof
Upload Reasons Here*

Cancelof
PLEASE NOTE: Refunds are processed based on method of original payment. Credit & Debit card payments are refunded to the credit/Debit card used for the registration. Payments made by cash, cheque, or wire transfer are refunded with a cheque. See Refund Policy page.
PLEASE NOTE: Refund cheques will be sent via regular mail at no charge. If you want to have your refund cheque sent fast you will be charged a $50 fee deducted from your refund

Send refund cheque via regular mail (no charge)Send refund cheque via courier and deduct the$50 fee from my refund
PARTICIPANT SIGNATURE

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