SBDC Refund Request Form

Request a refund Please complete all fields in the form below. Incomplete forms cannot be processed. Refunds must be requested by the end of the day on the second Sunday of classes (Oct 17th for Autumn 2004/2005). This form is not valid for our advanced classes. Advanced class refunds must be requested in person on the first day of instruction.
Name as registered:
Name on credit card (or CASH/CHECK):
Email address:
Phone number:
Classes (select only those classes that you are requesting a refund for):
Verisign ID (if paid by credit card, otherwise CASH/CHECK):
Email receipt, if paid by credit card (or else CASH/CHECK/LOST RECEIPT):