Refund Request Form - 2024 Conference

Refund Type Requested

100% less $25 (requesting no later than 10/30)

50% less $25 (requesting from 10/31 to 11/13)

Changing Registration

Exception (requires Treasurer's approval; see details below.)

Meals - Purchased in Error

Eligible for FTA Discount

Late Fee

Email Address

Check this box to donate your refund to the AMATYC Foundation. All gifts to AMATYC are tax deductible as allowed by law.

Phone Number (best way to reach you, if needed)

Phone Listed above is:

Cell

Work

Home

Conference registration was paid by:

(The party that issued payment will be the party that is refunded. Refunds will be made in the same manner payment was made.)

Who Issued Payment

Personal

Institution

Payment Method

Check

Credit Card

Provide information below if payment was made by check.

Make Check Payable to:

Mail check to: Street Address

Mail check to: City / State / Zip / Country

As stated in the conference registration information:

* A refund of 100% of your registration fees less a $25 service fee is given upon receipt of a written request postmarked by October 30, 2024. * A 50% refund less a $25 service fee is given if the request is postmarked on October 31 through November 13, 2024. * No refund will be given for any request made on or after the opening day of the conference, November 14, 2024. * No refund will be given for membership dues. * Requests for overpayments must be in writing and received by the AMATYC Office no later than December 15, 2024. * If an event is canceled by AMATYC, full refund will be made. * This refund policy is also applicable to registrants for the single-day option. * Refunds for registration fees will be processed approximately two to four weeks after the conference. * Exceptions to this policy may be approved in some extenuating circumstances. Please contact the AMATYC Office, 901.333.5643, for more information.

Enter the dollar amount of the requested refund in the following category.

You may make more than one entry if applicable.

Conference Registration Fee

Using Institutional Membership to attend

Late Fee

Friday Guest Ticket

Saturday Guest Ticket

Other (explain in reason field below)

Total Amount Requesting

Reason for Refund

You may upload any additional documentation you feel might be beneficial to your request.

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