Refund Request Form



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Disregard if the payment was made online via card.

Refund requests will take between 26 - 34 days for the review, approval and payment. Ensure that the bank information that you provided above is correct. The bank charges for transferring the funds to you will be taken from the portion of money that is being refunded to you.

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AGREEMENT

I have read the Financial And Enrollment Agreement and understand that the Agent will be adjudicating my request based only on the terms that are outlined on the same document. I understand that this is a request for review of eligibility for a refund only. The final decision that will be communicated to me in five days is based solely on the terms of the said agreement. The payment will take maximum of thirty-three (33) days from application to payment, and the bank charges for the transfer of the funds will be subtracted from the amount that I am being refunded.