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Conference Refund or Transfer Request Form

Are you requesting a refund or a transfer?

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Are you requesting a refund or a transfer?

A

Refund

B

Transfer

Which event(s) are you requesting a refund or a transfer for? (mark all that apply)

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Which event(s) are you requesting a refund or a transfer for? (mark all that apply)

Conference registration

OJA Luncheon ticket

Other

First name

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Last name

*

Organization

*

Phone number

Email address

*

Please provide details about your order below.

Date of purchase:

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Order # (if applicable; skip this if you don't have this information):

Amount requested:

*

Reason for your refund or transfer request:

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