PRPS/PAEE Conference Registration Refund Request

Question Title

* 1. Name

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* 2. Organization

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* 3. If registered as part of a group, please list other registrants from your organization:

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* 4. I/my organization would like to:

Make a tax-deductible contribution of all or part of my/our registration fees to help offset unrecoverable conference costs. Please note amount below.

Request a full refund of registration fees paid.

Keep the registration fees paid "on account" to use toward a future purchase (2021 Conference, Fall Mini-Conference, webinars, membership dues, etc.)

PRPS/PAEE Conference Registration Refund Request

Question Title

* 1. Name

Question Title

* 2. Organization

Question Title

* 3. If registered as part of a group, please list other registrants from your organization:

Question Title

* 4. I/my organization would like to:

Question Title

* 5. Notes/Special Instructions: